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� Total Fe�: $�2, ���–�� DateReceived: � � � � '�� <br /> � Entered By: �� (�/� ._ <br /> �.— �.-_ Permit#: Z <br /> CTTX OF ORO,N�O W �UI�.,DING FE�MIT Ap�'LICATI4N <br /> All informatton m�ust be submitted i�n full b�fore�lan review wilt be started. <br /> (please print all informallon) <br /> �� .'������s�������.1^____'_..������r��--�w....r��� «�-��...rr��� <br /> �'HE A►PPLICANT IS: (circle ane) OWNER �t Cp�TRAC�'p� <br /> �OB S1TE ADD�SS: � <br /> 7.!P: <br /> 'Will this be a Parade of Homes, Remodeters Showease Home or other Dispiay I�vme? � <br /> ❑�'C5 �No If yes, Q specla!event permft is rei�ulred H�lth Pollce Deparbnerr[and C�ty('ozu:cil approvcrl <br /> �4 days priv,•In the cyverrt. Shultle br�.r servlce w111 be reqt�ired unle.cs app/icarrl de,nonsrrates <br /> su�ct�nt nn-sJte pQrking is pvarlcrble. Non.per•mirted everrts N�ill not be a!luwe�i <br /> NAME QF OWN�R: I� I 7 <br /> _ PH()IVE: (liome) '� g'"� <br /> MA,ILiNGAD�RESS: 2� 0 r��,^rk) !?rZl 6� <br /> _ a �V6 1lM.�ITY:0�bN0 ZIp: <br /> COIVTRACTOR: ... __PHONE:3zo 2e��ogo <br /> corrT�cT r�r��o : � - - ��N_�. —. <br /> �"'�o' K�► 11�lOBiLEIP GER: G��Z2�go38 <br /> MAYLTNG ADDRESS: . , CiTY: <br /> STATE I,ICFNSE; # 2 p� � r0 ZIP::'��.� <br /> 1 �.—...,_, EXPI�iA,TIUN DATE: 3 o g <br /> ARCHITECT/�NGTNEF.i�: ���iT���� PHON�: 6 �1339 243�}- <br /> MAILING ADDRESS:����,��� � a��.Y: <br /> NAME: � � ��'� o � <br /> � REGISTRAT�ON: # <br /> T'YPE OF WORK: New Home A.ddition <br /> Accessory Structure �_ <br /> Mov� I�iome Remadel/Alteration(ie: Siding, Windows} <br /> Any eazth movem�snt may require �CtND review arid <br /> PROPQSED WOR,I�(describe in�letai�: �ez��-ts: . <br /> STOItIES: I SQ.FEET OF�ACH FL�OR; G�p <br /> NO. OF BEDROOMS:�_ �A��F STALLS: ATTACHED� DET.F�CH�D� <br /> ESTIMATED CpNSTRUCTiQN VAI,UATION(�xcluding land): $ <br /> ._.:j �20��C'�O -- <br /> [hereby apply for a bui Iding permit and(acknowtedge th�t the information nbove is complcte and aecurate; <br /> that tl�e work wiil be in conformartce with the ordinances and codes of the City and with the State Bu;tding <br /> Code;that T understar�d this is nor a permit an work is no to skart withpui a perm�t;and that the wark wilE b� <br /> in accordance with the approved plan, ; <br /> � � i � <br /> APPL�CANT'S SIGNA'�`URF: � � --C <br /> , �, , <br /> � A'TE: ,,, � <br /> y ���- ��- ��+� <br /> i00f�] t�'3 Ci�LT LOOZ/OZ%�JO <br />