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C K 1,0 v LJ60 <br /> Total Fee: $ 3 r ate Received: <br /> Entered By: ermit #: <br /> q <br /> CITY OF ORO O -BUILDING 'A ICATION <br /> / 9--� (-(-- <br /> All information must be submitted in full a ore review will be started. <br /> (please print all info n) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 00 ToiU k(-WA- ZIP: <br /> NAME OF OWNER: M c L i►t?d� L. � PHONE: (home) <br /> U (work) '6A-.-6P_ <br /> MAILING ADDRESS: 0&) %cs&4,L4l z4, A- CITY: D2o,UG ZIP: <br /> CONTRACTOR: D&JkRr Cu.STo,,v 6 , - PHONE: 9 -y7G-o2ro 79 <br /> CONTACTPERSON: bokVtD &E!'--E: MOBILE/PAGER: (moi,2--21g--/6 )1 <br /> MAILING ADDRESS: /$a83 ?'1'luwueTyg A 6144-1-p- CITY: xww ZIP: 5t0fl <br /> STATE LICENSE: # c>)Q f <br /> ARCHITECT/ENGINEER: l4Lemr, pe& G PHONE: 16-1173-- 1 7 <br /> MAILING ADDRESS: LO &45r LAig& e5T U CITY: /,t q4. ?ot-i r}- ZIP: - x31/ <br /> NAME: ak-,-M-c A) *LL-X l--►tid.&r uv <br /> TYPE OF WORK: New Addition Accessory cture <br /> Move Remodel/Alteration Lan Aeration <br /> PROPOSED WORK(describe in detail) RSAA0VA 9�_ LSTt g" z <br /> STORIES:�_ SQ.FEET OF EACH FLOOR: 1j= Aeow <br /> NO. OF BEDROOMS: q GARAGE STALLS: ATT. Z DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �/$O�p00 <br /> I hereby apply for a building permit and I acknowledge 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 not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 7-I-63 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />