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4 <br /> �Total Fee: $ /�� ��7 � ��/ Date Received: �-� � (..����j�' <br /> Entered By: ��' Permit#: 2 - Zc� -o� <br /> ��.y.�,�; �::�1U, - <br /> CITY OF OR�NO - BITII�DIVG PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> 'THE APPLICANT IS: (circle one) OWNER OR ONTRACTO� <br /> JOB STTE ADDRESS: �.` 1`��-z SC�+'l�-�`����C l..�r•..:�- ZIP: `�S�3 5 �^ <br /> NAI�IE OF OWNER: ��_«;:4�� i S-T�-`� ��I�t���c��=��-- PHO�IE: (home) ` ,;�2��3 i��- 5 Z�"� <br /> -������ (work) l{.�z � Z> �t � - ���z y- <br /> � <br /> i�iA�Lr'G ADDRESS: L�.�i� S�r+�e�Sc�i CTTY: �,��_�� r.� ZIP: `�S 35�c <br /> CONI'RA.CTOR: �=-,,.;aT"�f-=� �hot��•� 1-�-vr��� PHOi�1E: �"Il���� J �`'1 '�:ZS- 1 <br /> � � <br /> CON�'ACT PERSON: i o�1-�l �_.:h-�-� I�iOBILE/PAGER ��Z � �,L, �- �-4�1�1� <br /> NIAILING ADDRESS: �-t«.�c.� �,��r���h'� �� ��=� CITY: �,��-t u�c�.�-T l� ZIP: ����y�l� <br /> STATE LICENSE: # 'c�� �S-y S-c� <br /> ARCHITECT/ENGliYEER: P���� <br /> `IAII.I�i'G ADDRESS: CITY: ZIP: <br /> N�y�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration L� Land Alteration <br /> PROPOSED WORK(describe in detain: �.�_s� l��r 1- ��-�'� �'���"�S� +� t� ���-�1�� T S , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> ESTII�i IATED CONSTRUCTION VALUATION (excluding lanc�: $ =�-� ��'�=�= � � — <br /> I hereby aoply for a buildin�permit and I acknowled�e that the information above is complete and <br /> accurate; �hat the work will be in conformance with the ordinances and codes of the City and with <br /> � the State Building Code; that I understand 's is not a pe 't and work is not to start without a <br /> pers�'� ��nd that the work will be in acco an with th ap oved plan. <br /> � z, <br /> APPL:�.CANT'S SIGNA DATE: � I`�� IC-�� <br /> 1�'OTE! P ra ade.Q Homes events require eparate permit approval by Police Depariment and <br /> City Council 60 days prior to the eveni. Non permitted events will not be allowed. <br />