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� � � � �� �� <br /> Total Fee: $ � � . =�� Date Received: �� 7 �" � � <br /> Entered By: ��_ � Pernut#: ��/ � ,� <br /> .���C� �4 I � I � � �- <br /> CITY OF OR�NO - BUILDING PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> r----- <br /> THE APPLICANT IS: (circle one) ( OWN. E�R CONTRACTOR <br /> JOB SITE ADDRESS: y 7 Z S ��re6`t- �-�2 �R i v2. ZIP: �-`��3� �/ <br /> NAME OF OWNER: -�eN ��2✓3 J`'� PHONE: (home) `� 7 Z `� `��76 <br /> (work) �'�-w�-�- <br /> MAILING ADDRESS: ;-�-�.� CITY: a2�,ti� ZIP: 553� �J <br /> CONTRACTOR �; -'�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New _.,,___.��-it-iag Accessory Structure <br /> Move ��emodel/�lte�a�'ron k Land Alteration <br /> PROPOSED WORK(describe in detai�: �.4-��N� I�W t� `�v�-� �,�� �`Ns�.c��.��� <br /> w�-i�s <br /> STORIES: Z SQ. FEET OF EACH FLOOR: Z, S c+o <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. z !L <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, ao v <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 Ciry 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: �y /� a z <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br />