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. � (,�I��� 1z�`�� `'� <br /> • � ' CITY OF ORC:70 - BUILDI;IG PER�iIT APPLICATION <br /> � <br /> motal Fee: 5 r ��� � � Date Received: <br /> Date A�oroved: <br /> Entered By: ' <br /> �o�; `a. �, 7 � � _ <br /> AT•T. INFORMATION MIIST BE SIIBMITZ'ED IN FIIL.L BEFORE PI��t REVIEW WILL BS START�D <br /> (See C`:eck-c�� �-st �aclosed) <br /> ----------------------------------------- <br /> ------ <br /> �*gE APPLICANT IS: (ci_cle cne) +NER r CGNT�CTOR <br /> � �.- � 5"S3� � <br /> JOB SITE ADDRSSS: <br /> I ��� RP35"r' PO t � NC I�P zzP: <br /> (work) `��1� <br /> .� �"'C� � �, �l l Y �J PHONE: (hcme) " �/� <br /> N� OF OWNER: <br /> MAILING ADDR.ESS: � 3�U 11��� POJ� �I �i'P CITY: rn�GL ►V� ZIP: ��� <br /> �Yc��- - �a �i '� � <br /> ,�l . ��._�.�2� <br /> CONTRACTOR s ��V i� G���l�/ C�'� � d � � PHONE: <br /> MAILING ADDRESS_ <br /> �z�: ZZP: 5--�5�o g <br /> ;� OIUa � <br /> STATE LICENSE: z <br /> PHONE: <br /> ARCHI TE CT/E:�GINEER: <br /> CITY: ZIP: <br /> MAIZING ADARESS: • <br /> � REGISTRATION � > <br /> NAME: <br /> TYPE OF WORR: New <br /> Addition� Accessory Structure blove <br /> Demo Re.*nodel/Alteration Renovate Land Alteration <br /> ' -�-' q y41r-l��i <br /> � <br /> PROPOSED WORR (describe in detail) : ���1 ( �� � <br /> c���/ <br /> STO <br /> RIES: � SQ. FEET OF E.AC.H ��R= �v <br /> NO. OF BEDROOMSs G�R�1GE STALLSs ATT. DET. <br /> ESTIMATED CONSTRIICTSON VALIIATION (eacluding land) = $ <br /> (�� d Op . OD <br /> I hereby apply for a building permit and I ac?cnowledge that the informatior_ <br /> above is compl.ete and accurate; that the work will be in conformance wi�h �hT <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; anc <br /> that the work wiI 1 be in accordance with the approved plan. � <br /> C�� DATE: � LJ <br /> APPLICANT'S SIGNATIIFtE: <br />