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C�T:.' OF OROAO - BII2I.DING P-.FtMIT APP-T�=C�'.�'IOA <br /> Total Fea: $ Dat� Rec�ined: 0 <br /> Date An�rove3: <br /> Entered By: <br /> P��it�: <br /> AT.T. SNFORMAT20N MIIST B$ SIJB�SITT�...D IN FAL.Z BSFORE PT�3N RE9L..�T WII.L B$ ST�R� <br /> --------------------------------------------- <br /> T� AppI,�C�,NT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: '��� �� ��r�� a�i��-/ �'--f� ZIP: �-5�( <br /> cwor:t� yys-,��,� <br /> 2It�ME OF OWNF�: �rl� t�1r��� �a��� � _ PHONE: (home ) <br /> _' '_ '--' � czTY: �� zzP: �.���a / <br /> ?SAIZING ADDR$SS: � =-� �� C'�F'r r+�l �� s�--�� _ <br /> CONTRACT�R: ��il.�L'�- �j'i��`� PHONE: l'l��C�-�r/� 1� <br /> _'+�.AILING ADDRESS �1� �7 '�:;{/''�%t�-''�-1' �-�l _ Crmv. �'��c�E✓- _ Z.r� �i��_�1 <br /> TYPE OF WORR: New Addition� Acc�ssory StructndeAlteratione <br /> Demo Remodel/Alterativn Reaovate La <br /> PROPOS�D WORR (describe in detail) : �f'!'...� a��x �U %*��C-�i rl c>�L✓ �?>C.� -S�v�h <br /> r <br /> � � <br /> �� ' r .'t ��/� �t'�( ����''`.r�z'`�� ' <br /> � <br /> STORIES-�_ SQ• PEBT OF EAC3 FIAOR: //U � <br /> AO. OF BgDROOMS: � G�FtAG� STAI.LS: ATT. DET. <br /> ESTSMATED CDASTRIICTION QALIIATZOH (eaclndiag land) : $ / �1 ;� '>�1 <br /> I hereby azply for a building permit and I acknowledge that the informati� <br /> above is complete and accurate; that the work will be in confor�C de;a that <br /> ordinances and codes of the City and with the State Building <br /> understand this is not a germit and rk is not to start without a permit; a: <br /> that the work will be in accordan th the a�proved plan. <br /> � DATE: � J � <br /> �pzic.�xT s szcx��: � <br /> (Please fi out the reverse side of this form) <br /> 4 <br />