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McPHILLIPB BROS 6517702891 09126103 12:07pm P. 008 <br /> Sep-25-2Q03 06:09am Froe-CITY Of OROKO +A521494616 T-195 P.002/003 F-13B <br /> � <br /> �� Date Received; �l-o?.5-O� <br /> Total F�: ��c>` • �5 Permit.�l:. �'b a�� — — <br /> Encered 8y: .� <br /> CITY 4k' OR�NO - BUII.DING pER� �.PP�•����"�ON <br /> x� 'I�' lan rePiew will be started.. <br /> �' A� A!1 information must be subtwltted tn ttill beiare p <br /> �� �Io �p/ _.�_ �lease prinr all infornradon) �� __ ��__.-_�__ . <br /> dYQ1 <br /> � <br /> �Y3�; APPI.,ICAN7'�S: E�trele o►te) 0'�VN�R 0 CONTRACTOR <br /> JOB SI�'E AnDRE.�+S: <br /> � � ► ZIR: <br /> PH4NE: (hom�e�. <br /> NAMB.d�'OWNER: �� � fwork) a- - <br /> n�nvG aaupx�yS: a���.� - �� � z�:��!� <br /> c�ro�: _hn� �.: l� s �ro '�p ,�P�o�: GS1 - 7�U aa�2 <br /> corL� L� II�l.PAG.ER: a <br /> CONTAGT P��ON: S � �� <br /> MAIE,YNG AI)DxESS:� <br /> CY'i'Y: ZT�:,,,�,.. <br /> STAT�LIGENSE: �_�� - <br /> �s cil PHON�: `°h I� °� .�� <br /> AR(.`FH.1`�CTlF.l+i(�IlrIEER ►�'`e CITY: �/-1°a�---� <br /> 1yqYL1NG AADRFSS: `"`� REGYSTRA'1`ION� � <br /> NAME: Ol � � <br /> Addition,�, A��ss°ry 5t��, <br /> TYI�OF.'WORK: New ��1/Alteration Land �ration�..... <br /> Move �,_„ <br /> PRO V�OYtH(describe in 4�tai�: �eMn £ <br /> �'� � '�.� ��,�,,,,�,.� <br /> .�. .Zv. � u <br /> i <br /> STO�s� ,^._-- --- SQ•�T��EAC�Ff•00R: DBT. � <br /> NO. OF BEDR04Ni�: .._+. ��E.STAY•LS: AT'�'. !._,_ �— �' <br /> � <br /> '�D CONSTR�(1C7'ION VALUAT�ON f e�cc��o��l' � �o � <br /> F�5"TIlViA <br /> X bereby aPP1Y far a buildinS permic and I aclawwledge d�ac t�e i�o�rion.abave.is complete and <br /> accura�e; that ttLe work will be in couformaace with rhe Qrdit�anc�o ��t�o�st��rt without a <br /> tbe S�ate Huilding Ct�e� d�at I understand tlus �s aot a Pet�toved pla�• <br /> pera�it; and tt�at tbe work wi�F�be ia-acco�cdan�'je wirh the aPP <br /> p,ppLICANT'S SYGNATURL�: <br /> DA�: �= �S-o <br /> r r events require separate permit approval by Potice Deparhntnt a+�d <br /> N01�- <br /> � Cuy Counci[60 rlays prior to the event. NpR perm�tted e�'e��s ►�n�t b�"la°"`e <br />