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� <br /> Total Fee: $�/ 7�,_��' _ DateReceived: ��j �� p <br /> �ntered By: `'' _�__ Pei�mit#: 5 <br /> CITY OF OROl�tO - I�IJILDING PE12MIri' APPLICATION <br /> All information m�ist l,e siibnxitted in fi�ll befoi-e plan i�eview�vill be started. <br /> (�Cease prrrrt rell infnr»tritioi��) "�`� ._���'. � � �� U/ �% � � �`,r=T <br /> ------------------------- - ' <br /> - ----------_---_-------___..-----___�___ ----------------------•-------------- li(N[7— <br /> ----------------------- <br /> �'HE Al'PLICANT IS: (r�i�•cle o�re) O��]"�tI�R C)R CONTI�CTOR <br /> JOB SITL�.�DRESS: ��' 7, ��c�l��(���� �5., ZIP: -SS__�5� <br /> �Vill this be a Paracle of 1F3�oit�es, Remodelers .�ho�vcase IIome or other Display Home? <br /> ❑ Yes ❑ No If;ves, a s7�ecr�rl eventpernict is regtrrrerl with PoliceDep�n�tnze��t rn:d Crh�Cou�:cil approvu! <br /> 60 d�ays prior to the eve�7l. Shut�le bus se�vice ivill be required�mless applica��t demoizsh•ates <br /> su ficient o��-site parTcing is av�iilahle. No�r periiiitted eve�its i��ill not be nlloyG�{1.,�� <br /> �`t� <br /> NAME OF OWNI+��12: �— P��Y�NE: (hoine) �j��� <br /> /� ,��/,S' (work) _ �� <br /> riIATLING ADD�I�SS• N _ �I1�': _Q/��__ZIP: �3�-�'�, <br /> �� <br /> C'ON'TItACTOR: �_�--����„��1—,/U��_ P�IONlC: <br /> C;ONTA+CT I'E�SON: ;���,�___ 1170I3ILE/PAGER: ���o'�� -. �k� <br /> I�'IAILING ADDR�±,SS: _ �..��,�__ CITY: ZIP: <br /> STATE LIC�NS�: #_��'�(Q�---� E�S;PII�A7'd0\T DATE:_��� <br /> 6�3� <br /> ARCHITECT/ENCINE]�;R: --.�Us,�_L,�(,�� PHONE: .J3.S�71 �� <br /> I�IAILING!�DD��S�: ��.P�!.`�%s k��1U �'Ir�'1': ZIP: ,5��� <br /> NA1V�E: -� ----�1 _�Z]�CIS'TRA ON: # _����,��S <br /> T�YP� O1�WORI�: Ne« Addiiion Accessory Stnictl�re <br /> Move Ho e Relnode�l/Alteration <br /> �RO�POS�D�V0�2Y� descrihe ir�r rletail�:__ �� ' <br /> � -��-- �--�o�,�= 1�--��.e <br /> — --y���c� �.x.��u}---------------�f� � Q <br /> �h'��'c���: � ��.]F'��;T���'�,f��:�'��Y�00�:.1--=� /�� <br /> Id1�. ()�'��D�OO1�`��: _ ��Lid����±, ��'��,�,�: �`�"T4����'�� � `I'A(.H�D_ <br /> ��`�'�l@��7'�I3���iS��2LJ�71 I�I�1�����J��'Y YOlv1(e�c�aiclin;lanti): ���,(�y� <br /> I Ilereby apply for a building pernlit and 1 acknowled�e tllat the infonl�lation above � complete and accurate; <br /> that the work will be in conforniance with th�; orcli nc� and codes of the Cit Zd with the State Building <br /> Codz; that I undei-stand tliis is not a pern�it and� i-k i� ot � rt itlLout a rnlit; and tliat tlle work will be <br /> in accordance with ihe approved plau. <br /> AI'PLICAI�IT'S SIGNArTURIE: _ _ _ _ ����; ` <br /> Jl <br />