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. Total Fee: $ � y� ��� Date Received: /� � ���`� <br /> Entered By: %z�� Pernut#: j i - !r:. -01 <br /> L �����1- -- ����-<-�i <br /> CITY OF ORdNO - BUILDING PERMIT APPLICATIOlet <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------- ----------------- --------------------------------------------- <br /> THE APPLICANT IS: (circle on OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: Z �o� C�.s�o `�-, 2� z�: ss 3 q/ <br /> NAME OF OWNER: h � �,� � PHO�tE: (home) S Z- 7/�'77 6 <br /> (work) <br /> MAILING ADDRESS: �(�a�o,e_. CITY: IP: SS <br /> ,,������� <br /> C�°� CONTRACTOR: d�- ��q 9 PHOi�TE: <br /> �ak.�� i CONTACT PERSON: �! e I�,h MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br />(���'���� STATE LICENSE: # <br />� <br /> � � ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�C _ Land Alteration <br /> PROPOSED WORK(describe in detain: 2.G,-bc,�� � -�- �p r;GtG (,�t„'�-i p <br /> /Q � x I �'' � w `f �x 1 � � w e�//c w.c ti <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �('j0 '= <br /> I hereby apply for a building pemut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: l� , DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />