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1 <br /> Total Fee: $ I Date Received: <br /> Entered By: 1 � � _,.f�1 Permit#: 6—/L/-O"z <br /> CITY OF ORO O - BUILDING PERMIT 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 CONTRALTO <br /> JOB SITE ADDRESS: 3o l y i,✓ATEIcroWN PyA p ZIP: `s S'3 T(, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ® No If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 7f P1LFY 4 AN N WILL 1 q'N1 SPHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 3015 toA-TiMrOwN IZD CITY: aRowD ZIP: wiV <br /> CONTRACTOR: G!101 GE lArm0 D GOwt PA4+N Y PHONE: ,3 S2 q? o b4 3 <br /> CONTACT PERSON: DOu& H k p S p yy MOBILE/PAGER:a Z-2-3 7— 3 <br /> MAILING ADDRESS: 14?ioo 6pRH*^ A-VE CITY: ST.LOUIS BWIP' !Mj �',�Z4 <br /> STATE LICENSE: # 153'2— EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 61JOIC9 N P PHONE: W rZ 9 z4 b nq-3 <br /> MAILING ADDRESS: ',S3 Do 6o ghajt A ANG CITY: ST Law's Pmkzlp: 5-r 6 <br /> NAME: (,, e_f-FFn.T ?'16E(.11-A-$L REGISTRATION: # 45'r"l-S <br /> TYPE OF WORK: New Home Addition X, Accessory Structure <br /> Move Home RemodeVAlteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): k <br /> _ o <br /> W <br /> STORIES: _� SQ.FEET OF EACH FLOOR: 4-90 S q• P-r, L'PDK <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�� tD <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and c des of the City and with the State Building' <br /> Code;that I understand this is not a permork is not to st without a permit;and that the work will be <br /> in accordance with the approved pla . <br /> APPLICANT'S SIGNATU — DATE: <br /> 31 <br />