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• Total Fee: $ W Date Received: - - <br /> Entered By: /0 Permit#: : '3 r, y <br /> - BUILDING iE <br /> CITY OF ORONORMIT 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 CTOIT) <br /> JOB SITE ADDRESS: RQD W !Clot-,..) Viet.) DR . ZIP: <br /> NAME OF OWNER: (,....Ea, 1,429 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: LE C�e.iho.J PHONE: 74'3 7'o 575 <br /> CONTACT PERSON: I..tl ,,,oe" Ep_. MOBILE/PAGER: [Q 12 Qqg s33 S' <br /> MAILING ADDRESS: 15;11 QLITH Lit). ,!1.6-• CITY: OLA,N6 ZIP: 55'51'4 <br /> STATE LICENSE: # 1357 <br /> ARCHITECT/ENGINEER: D. Fp. PHONE: Le 5-1 to 38 !4(2-- <br /> MAILING <br /> (ZMAILING ADDRESS: 47Gj 7 6.1 t vS to N. £. CITY: IlkezeN 41/25 ZIP: 55i i 2 <br /> NAME: Pep 1J A-(� IA)al.)"TREGISTRATION# <br /> TYPE OF WORK: New 1`/ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): S,aj ,Lr !-N (t/ ,Jnk) ao t/57/ ' 77& <br /> STORIES: / SQ. FEET OF EACH FLOOR: ...it/4a. y-IS 9T <br /> NO. OF BEDROOMS: 5- GARAGE STALLS: ATT. ' DET. <br /> err) <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 5-G25) . <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: ///�/ <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 />