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v <br /> Jun-01-2001 09:13zm From-CITY 0� OR04C ��'�"L�' L� +95224P4616 T-152 P.002/003 F-236 <br /> Tota! Fee: $ Date Received: <br /> Entered By: Permit#: <br /> 1 I� CYTY OF ORO�10 - BU1�bYNG �'�RNYTT APPLICATI4N <br /> _,'�� �/�.�-� ��T--%��C,�% <br /> AlI inPormation must be submitted in fuU before plan review will be started. <br /> (please print al� information) <br /> �---�-------------•�-----------__----------------------__._ ---___�----- <br /> -------�------------------- <br /> TkIE APPLXCANT IS: (circle one) OWNER OR ONTRACTO'R <br /> Jo� srT� �n�ss: 31�� �'��ti ��z.�-�.� z�: ��� ���/ <br /> NAME O�OWIYER: �,e1.G��"[-�.�4 PHONE: (home) ���-��'J�r'7d'f' <br /> (Nork) <br /> 1�IAILL�IG ADDRESS: �c�-- CITX: ZIP:� <br /> CONT'R4CTOR: ��1,����c;��vnu"%�Lz.�t�jzr,e.ti�L� pHONE: 76�-�/�- �%/'Id <br /> CON'TA.G"I'PER,SON:(��tL ' ° MOBTLE/PA.GER: <br /> 1v1AILni 1G ADD�'SS:�3'7v�?--r " �t�r�,n/a CITY: � � �.; Z1P:�4�`f/ <br /> STATE LIC�NSE: fi,� 301 � <br /> .�2CHI7'EC�IENGINEER: PHOYE: <br /> MATT,I�1'G ADDR�SS: CITY: ZIP: <br /> Nt�iI1�: REGTSTRATION# � <br /> T'YPE OF WORK: New Addiuon Accessory S�ueture <br /> Move RemodeUAlterad�n I,and Alteration <br /> p�tOPOSED WQRK(describe in detai�: ���� � <br /> STO�tIES: SQ.FEET�F EA.CH FLOOR: <br /> NO. OF BEDROOMS: � GAItAGE STALiS: ATT: • DET. . . ._ . . . <br /> r/ � <br /> �ST �MATED CONSTRUCTION'VAY.UATION (excluding lanc�): � 1�� 3%d � <br /> I hereby apply for a buildiz�g pern2it and I aclmowicdge that the information above is complete and <br /> accurate; that the wock will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is nos a permit and work is not to start without a <br /> permit; and Lhat the work will be in accordance with the approved plaa. <br /> APPLTCANT'S SYGNATUR,�: p��� <br /> N01'E! �'arc�de,_!tf 1�lorrL events require separcrte permit appravai by Paliee Department and <br /> City Counei160 days prior to the event. lYon permiKed events will not be alYowed. <br /> � `U�, �L <br /> ���� � �� <br /> �� � � <br /> � <br />