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... <br /> Total Fee: $ � `� �� ��'� Date Received: ��f-�;�5-�v�o3 <br /> Entered By: � 7 Permit#: �{�i Cv��S _ <br /> �>'l,.i l J-'�J'-, (� <br /> CITY OF OR4N0 - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> --------------------------------------------------------- ------------------------------------------------- <br /> ; <br /> TFiE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SIT'E ADDRESS: �� � 1-f �•�Sc i:� � !L�. ZIP: �j � :� �t � <br /> � <br /> NA1�ZE OF OWNER: l�/�-i�1C �- I 6�v�l'�z�%`� PHONE: (home�(��l , 5 � "�����`� <br /> p - (work) <br /> MAILING ADDRESS: �'�,X .��-( �-1�t5�v p' �- I'�� CITY: f�;��j'w;.�,/v ZIP: �� 3 ' <br /> CO\�TRA.CTOR: ��'f �- PHONE:_ <br /> COr�TACT PERSON: NIOBILE/PAGER: <br /> M.4II,ING ADDRESS: CITY: ZIP: <br /> ST�,T`E LICENSE: # <br /> ARCHIT'ECT/ENGINEER: nv�1 �:' PHO�IE: <br /> MAII�ING ADDRESS: CITY: Z�: <br /> �J���; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��,r��L � � � f� ���1��� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOVIS: ,�-_ � GARAGE STALLS: ATT. ,ti��2 DFT. <br /> EST�1A'I'ED CONSTRUCTION VALUATION (excluding land): $ (f `%�' �" <br /> I hereby apply for a building permit 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 City and with <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> perm.it; and that the work wi� be in accordanc with the approved plan. <br /> - ,, <br /> �� ���' ,��� DATE: �f , ��"U 3 <br /> APPLICANT'S SIGNATLTRE:� �;;�, <br /> , <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 wi11 not be allowed. <br /> 5 <br />