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� Total Fee: S�%��� %� ' DateReceived: <br /> DateApproved: <br /> Entered By: / Py`�t�' � � f <br /> -.1"�L <br /> CITY OF OROtiO - BU�D�G PER1vIIT APPLICATION <br /> AI.L�"F'ORtiI�TION I�iLST BE StiB1�iITI�ED IN FLZ-L BEFORE PL��1 REVIEtiV tii�TII.L <br /> BE ST:�RTED <br /> �___ <br /> -------------------=�,-------------------------- <br /> ---------------- �--- <br /> THE �PPLIC:�v'T IS: (c;rc.e one) O`VNER OR CONTRACTOR �, <br /> �__ - __. <br /> JOB SITE �iDDRESS: ��g � ���"C"�C-� � IY'�._�— ZIP: � �7C � <br /> NAi�IE OF O`Wi ER: �f y� K F; ���(1 ��— PH0�1E: (home) �7�, -C�S���"j��j <br /> aT—� C (wor�) <br /> I�IAILI��G�DDRESS: -���"n� CITY:� -� _ ZIP: � / <br /> CONTR�CTOR: �-► 1 tr^ � �r��-� Pxo�: S�r � �� �� � <br /> �IOBII.E PHO�IE/P�GER: <br /> I�IAII.Iti'G�DDRESS: '�,�,1 S /l1 � �� , I�__�CITY: I � ZIP: ��� <br /> ST�TE LICE�'SE: # � <br /> :�.RCHTI'ECT/E�G��EER: PHONE: <br /> �IAILL�'G�.DDRESS: CITY: Z�: <br /> v�v1E: <br /> REGISTR-�TION n <br /> TYPE OF ti�ORh: New Addition Accessory S�ucture <br /> ivlove Re.-nodeL�Alterat:on � T_2n�1 Alteration <br /> PROPOSED�VORK(describeinde*�il): T�C�,C- C7�-� - {� r(� %� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> v0. OF BEDR001�IS: G�R�GE ST.-�LLS: ATT. DET. <br /> ESTLtiiATEDCO�'STRLCTIO`v�,i.L'?�TION(escludin�la.nd): S�, 3pU `�G <br /> I hereby apply for a building permit and I acknowledae that the information above is comple�e <br /> and accurate; that the work will be in conrormance wich the ordinances and codes of the Ciry <br /> and with the State Buildino Code; r.hat I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> :�PPLIC��tT'S SIGNATLJRE: �'� ;� vu� l/(/.-Q�1�_�J ' DATE: I � /��;�'=� � <br /> � . <br /> NOTE.' Parade o Homes events require separate permit approval by Police Department and <br /> Citv Council 60 days prior to the event. ��on-permirted events will not be allowed. <br />