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,�� <br /> . �1 � ��'� �,�� �� <br /> Total Fee: $ �r�``�;� �` �Date Received: ��`� � <br /> —�' ' �C-� <br /> Entered By: 1 ^� � ,��-, � � �,�ermit#: 1 �Z�j � � <br /> � ;� , �, -.`�1� y� ���t, <br /> CITY OF OROfNO - BUILDING IPERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all i�ifori�:atio�z) <br /> --------------------------------------------------------- ---------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ie) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �;���� �)��2�77 ;%��'Q ZIP: ��� <br /> Will this be a Par�ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [� No If yes, a speciczl everrt pe��mit is requii�ed with Police Department and City <br /> Courtcil approval 60 dc�ys prior to tlie event. Non perrnitted eveizts wi�ll not <br /> be allowed. <br /> ::%���.�-C�'�i <br /> NAME OF OWNER: �.1�/� %��,�C�� � PIIONE: (home) ,7a- � 5- 3r�'Ic� <br /> (work) <br /> MAILING ADDRESS: ���� � o��ITY: ('�/LCiY7,�� ZIP:�S,j.� <br /> CONTRACTOR: C�� ����'v.t�l� 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 Accessory Structure <br /> Addition Move <br /> Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe i�z detai�: - " <br /> (',lJC <br /> ��,C ' - � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �C� C?UU <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: i���� �-�L��� 1 �— <br /> �_ � DATE: ,/ C � <br />