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Lin' OF <br />i: ;»; NCI I • IT A: r 1.1 CAT 1 ON <br />/7 <br />i <br />h*oppiN(. ymj^iuin:L±!-yi^^ <br />rrr,c-ni• lo be b In with f*ill»Mng rn wli Appl Jc*t l«*n: <br />1) Btillt^ing r*irll Appllcetlon - lo br filled out & <br />2) M«*-V*nlcal rit»f>lr Application A Calculation filled out <br />3) F-n4t);v C^l **ol at I ont - filled out <br />4) furnish Septic Report 4 D'*'Iki' <br />5) furnish a Cercifiratc of Suivi-y <br />6) furnish Jk sets of Construction Flans: <br />a) 1 set for CItv to beep «»n file <br />b) 1 set for builder to u.^e on site <br />Construction Plans should Include: <br />a) First floor plan <br />b) fooling 6 foundation plan <br />c) Flevations (of all sides) <br />d) Wall sections 4 cross sections <br />t») Details - stairs and any special connections <br />THE ABv»V’E INfOKMATloS KJST BE SUEHlTTfO Rf fORE PIAH KtTIEW IS DONE <br />Worh beyoMd or without n reqtilred inspection will be subject to a renali <br />.cirv vs^r-.Lv <br />HOlLOrvC "lEWilT ' <br />NC. DATE <br />/w *.*NG 0)SINiCT <br />f ai 7cwa <br />' • ■ • <br />VAA DAT! <br />wJSPLftlOATI <br />tO* AAia <br />A :)Th * oiaiH <br />♦ - . ►-S!: If ’aAiK.s <br />1 a j«aT a s»OI <br />AiAa “T ?uof <br />^A^.f niTiAaOS <br />ACCESS <br />■ -~- <br />Ntw iVtStlNC <br />AT, i NC'F Al^hOV DATf <br />C*rr <br />CO-n T> <br />ST ATI <br />AA fA£IM»Wt <br />. t V to <br />Q-y ^ ^ ^ . Si or* <br />XL-I <br />blOG ^1 <br />S’sn Ml <br />n**» vii'a <br />ei NAlt V <br />sank Ml <br />SAC. CMA«CI <br />tot At out <br />OWNER (Name) (Addreis) /t<*/. • ^ A,'a/ IPhone) <br />A/ 't i“‘ /J ^ f I « r_______<—A C / ^A (>' ^ <br />ARCHITECT/ENGINEER - Must Cenify Multi Family. Commercial & Industrial Construction Flaps <br />CERT NO A.i'-'r/■■>£. y.f <br />(Firm) (Addrcsi) (Phone) <br />< • ^ llm <br />» ^ t ^ *_________________________________________________________________________________________________ <br />BUILDER (Firm) <br />/=, r c <br />(Address) <br />^<. ■ t. r^/’/L S. <br />(Phone) <br />TYPE OF WORK Addition Remodel Renovate <br />CONST TYPE BLOG SIZE <br />L r .H.; r <br />RESIDENTIAL <br />DWf LL <br />UNITS <br />GAR STALLS <br />ATT <br />OET. <br />NON RESIO <br />OCC <br />CLASS <br />STORIES <br />; <br />STORIES B <br />BORMS/FLR <br />SEPTIC <br />APP DATE <br />DOCK <br />PROPOSED USE <br />COUNCIL <br />APP DATE <br />EST CONST valuation <br />’ •• “ <br />/ <br />REMARKS: <br />iNSPiCIlON HCQUIHEO <br />* CIO t*«H* <br />f AAMJei <br />WAiiSOAIlO •t0m» *1 <br />•ua« tc VOMI U« A At <br />ow«ib •NrictAiN aiLL ai <br />jiCT IOPC»*w*T <br />'«kC* 'i*w *^<e I •*$* <br />. t 0 m ^ ^0 K • •• <br />nrORK BtOUIBiNG <br />SlPAPATt PtNMiTS <br />MtCnAN<Ai __________ <br />Ml il _ ■ , , <br />WPliC.______- - <br />M M A__- <br />M4HIA _ ... . ... <br />a • iH»«t — <br />The undersigned hertby rrakes application for a building <br />penalt for tht cdcrk described, agrees to do all work in airict <br />accordance with the ordinancH of the City of Oreno and rullnga <br />of tha Statt Building Coda lUvlsiorl, and declares/thac all <br />facta and repreaeniationa stated <br />Dal t <br />/ <br />c wni <br />Stated hdreijS'tru^and cotrect. <br />-Si# •it M r e <br />.r