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r�ti�e,v��c io.r�r i rtt �1 i r ur uKUfvU blc-4'(.5-'(,3�'( bb'( <br /> A � �' <br /> K � <br /> , �-�j Cx�'Y OF OR�t30 — jBi7ILb�NG PE2tMI� AI'P�TCA�IaN <br /> � " <br /> Total Fee: $ i _ `�� bate Receivedr <br /> Da�e Approved: <br /> Entered Ay: ; r � /��,F=',-; 1 0 1�y2 � <br /> Permit�:, �,2 7i <br /> x►r.r. INFOFCMAT�ON M�ST BS sIISMr� rN � s�a� pr� x�vr�w wza.z es sTr��n <br /> �See Check-off List �ncZased) <br /> T� APPLICASIT ISz {cizcle one) OWNLR or Cs�N�'RAGTOR <br /> so$ S�� ���$�: _�33� �J:E,n� .� � Z�P: ���g� <br /> -� v <br /> `�'IaU cv�s�.e_ , �,n c W�r�� <br /> NAKE OF OTrJNER; P�ONE: (h ome) <br /> MAI�xNG �1DDRE5S: �j"J"J�� ��,Y �'1ri��11�� CITX: �IP: �3�0 <br /> C�NTR�CZ`OR: PHONS: / A Y-'��`t' � <br /> M�7LZNG ADDRBSS. ) ( � CTTYs� ZIP: <br /> s��� ���SE: � I� p � ��n��—i,r�._ I�p1� , S�-. t��9 � �;,,�U��.(�--. <br /> A.2tC��'1'ECT/ENGINE'ER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> 2�TAMEa REG�STR.AT�ON � <br /> TXPE QF WORR: New Addi.tion� .�ccessory S�ructur� Mave <br /> Dema RemQdeJ�/A�te�atinn Renav�te Land Alt�rat�.an� <br /> ,I � " ��� <br /> �����SED WG� (�escrib� in �3etail) : � � « �� � � YXXJLi'Yi _ <br /> I mn� �, � <br /> STORJESt 3Q. FET3T OF EA(� F`LOQl�: <br /> ?d0_ OF BSDRIJOMS: C:ARAGS STALI�S: ATT. D�T. <br /> _....._ <br /> ESTIMA�ED coxsxxuc�rrox v,az,vAxzox t��au��.n� ��a) ; � I, p o o�'`' <br /> I h�reby app3y Por a building permi� and I acknowledge thaf the in�ormation <br /> above is complete and acaurate; that the work w31.1 be in aonformance with th� <br /> ordinances snd cddes oE th� C3.ty and with the State Building Code; that 2 <br /> understand this is aot a permit and work is nat to staxt without a pex-mit; $nd <br /> that the work w�.11 be in accordance with the appsoved plan. <br /> Ap�'LZCA.NT'8 SIGNA r �A'.['E: � <br /> (��. C.l� <br />