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�k �„ <br /> ' J� 103 <br /> Total Fee: $ -f� �� %, �� `�' �'� Date Received: � � � <br /> -� <br /> �ntered By: �,,�Z_ Permit#: Q.� (Lq'�� <br /> �2��' /O�G�i��� � <br /> ' CITY OF ORC�NO - BUII.,DING PERNIIT APPLICATION <br /> All information must be submitted in fiill before plan review will 6e started. <br /> � (please print all informaiion) <br /> THE APPLICANT IS: (circle one) OR CONTRACTOR • <br /> JOB SITE ADDRF,SS: �a� � ':16Y1 � T ��. ZIP: ����� <br /> c �r^ �' _ <br /> NAME OF OWNER:��h e frane� N6w�es LL-C_ PH��TE: (home) <br /> (work) �Sa -'-}7 3--�9�1 1 <br /> 1�IAII.ING ADDRESS:����f �E'��C/ �Lt+ l� )Q�t-� - CTTY� (J f D(1 � Z�� �j���S�C <br /> CONTRACTOR: ".J�i t r i jt• r cL��(•F �[:711�.5 �-L-C PHO�IE: �5 a -�f 7 3 -' I�7'`7_l <br /> C0�ITACTPERSON: �.J�._-j-- MOBILE/PAGER: t�/a- 3�(�- - �y��_ <br /> MAII.ING ADDRE.SS: P - . �X� CITY: �ro rt o ZIP: �535co <br /> STATE LICENSE: #F�L �G�- �; <br /> ARCHITECT/EI`'GINEER: r �- c'� i �-p C�s PHO\TE: (Q/�,- 3�9-�l 9� <br /> MAILING ADDRESS: ` S�c`o.-, � �./L`c � CITY: .'�'��ISF/V�+�f ZIP: �" O J <br /> NAME: �S �r , �`. c •- �-1 n ,-i •� REGIST'RATION# � ai (� G�3 � <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detailj:i� - -�-a�u �� h mrn� <br /> STORIES: � SQ.FEET OF EACH FLOOR: (YIG,t.n I,L�y,� " Zr�d (,(3�'13 �-�� <br /> NO. OF BEDROOMS: .3 GARAGE STALLS: ATT�. �_ DET. '+�� <br /> ESTLVIATED CO�'STRUCTION VALUATION (excluding land): S ,� 3 D, 6Z�� <br /> I hereby apply for a building pernut and I aclaiowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is noi a permit and work is not to start without a <br /> pemut; and that the work will be in accordance with the approved plan. <br /> .�-�--� � =' �-_ <br /> APPLICANT'S SIGNATURE: , �,.-��� �';' DATE: �� %S ^� � <br /> NOTE! �'arade of Homes events require separate permit approval by Police Department and <br /> Ciiy CouRcil 60 days prior to the event. Non permitted events witl not be allowed. - <br />