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-i 4 <br />XKr <br />:.-X& <br />.-'■i <br />liS-i'P <br />Ul liJ <br />_ 3 <br />tiM <br />lU <br />lii <br />iEg <br />u. Z X z <br />M Ml X <br />H 10 Ml ^ <br />Ml ^ ^ <br />M K O O <br />^jT <br />r,.f, .... .m <br />mm <br />4m: ^ <br />•••■ :': ■'■ ■■: <br />' ’i" ;■•■•: <br />i <br />.ml <br />. X <br />Iv*.- <br />r • i' ■ <br />>;• <br />:■ I i ' '. <br />•«m <br />Total Feel $ <br />CITY OF OROHO - BUILDING PERMIT APPLICATTON <br />« <br />Date Received; j? <br />, Date Approved;a J <br />fir?a^inn ReouxTHfine <br />Permit#:Project#: <br />rmit application R^u^Sfi^ts: <br />uilding permit application^ to be filled out completely and signed <br />2. 2 sets of construction plans to include the following: <br />a) Floor plans; <br />b) Footing and foundation plan; <br />c) Elevations (of all sides); <br />d) Wall sections and cross sections; <br />e) Details - stairs and any special connections. <br />3. Certificate of survey with location of existing and proposed <br />structures including hardcover calculations and grading and drainage <br />plans as required. <br />4. Energy calculations - form provided. <br />5. Septic report and design if required. <br />ABOVE IRFORffATIOM MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />THE APPLICANT IS: (circle one) 6wNE^or CONTRACTOR <br />JOB SITE ADDRESS: j(J99 \J.'([ niAJ $0,ZIPs > <br />ciT* A/H.K •• j.7b <br />PROPERTY IDENTIFICATION NO.: fti ' jlH \ I- a P7 u W <br />NAME OF OWNER: ^LaI^TA <br />(worJc) <br />m CITY <br />*fS2i <br />MAILING ADDRESS:^ <br />ICONTRACTORir^^j^^ p% j^/y jf <br />\ILING ADDRESS; CITY; af Q^awp <br />PHONE: (home) <br />; ZIPs <br />PHONE: <br />ZIP: <br />CHITECT: I/O PHONE; ^7^ - 9^ <br />MAILING ADDRESS; 2c Ai,f_ _ _ _ CITY; _ _ _ _ _ _ ZIP; ■^^‘".^9/ <br />TYPE OF WORK: <br />Demo <br />(^iA^emoui <br />Addition <br />.Iteration <br />Accessory Structure \/^ <br />Renovate Land Alteration <br />Move <br />PROPOSED USE (describe in detail): uJtU \ of\ <br />STORIES: SQ. F??ET OF EACH FLOORr ^ ^ ff. <br />V ^HO. OF BEDROOMS:garage STALLS: ATT. <br />ESTIMATED CONSTRUCTION VALUATION (excludincr land): $ / ^ drta <br />I hereby apply for a building permit and I acknowledge that the informatio: <br />above is complete and accurate; that the work will be in conformance with th* <br />ordinances and codes of the City and with the State Building Code; that <br />understand this is not a permit and work is not to stary withg^/P p^mit; an <br />that the work will be in accordance with the approved <br />(Please rill^out the reverse <br />'^0011 c/ <br />*se side <br />DATE: y ~ 4D - <br />of thils form) <br />:.V <br />%: ■ . <br />mm-j <br />f nI-' <br />if'1 <br />I. <br />mXl <br />‘ i <br />I <br />( 4 <br />. ’r