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l .. � • <br /> Total Fee: $ J � � s Date Received: _��/.sl ��� <br /> Entered By: _.,�,-� Permit#: 1 i S�'i��� � <br /> CITY OF OR.ONO - BU]I,DING PERMIT APPLICA.TIOi�I � � <br /> A1I iaforma�ion must be submitted in full before plan revie�v �-ill be started. . <br /> � (please print all information) . . <br /> i"HE APpLICAir'T IS: � (circle one) O�VNER OR CONTR.ACTOR � . <br /> aos sz� AnnxEss: � °Il-s '��s �� � �i- �� z�: -�"� 9/ ; <br /> � 1 <br /> i�tA,I1�IE OF Oti��R: ��,�''� ,�a,'� PHONE: (�iome) �l?� - 7 y/..s' <br /> (work) <br /> I1�IAILI�'G ADDRFSS: ��»^Q. _CTTY: ZIP: _ <br /> —' �- �n � _ pxorrE: y 1/- 90 6� <br /> CONT'R.ACTOR: �-►'�,�Y1Q- G ✓' l�� <br /> CONT'ACTPERSON: �i`1� Sc�i n�'e-I MOBILE/PAG R: S �-�'% 7 <br /> TG ADDRESS: oZ�/�S R �If CITY: .��c1!`Q ZIP: � <br /> �� <br /> STATE LICEI�'SE: # �Ol 6�,� � <br /> ARCHIT�CT�ENGItii TEER: . . PHO�'E:. � <br /> iV1.A.II�Itii'G ADA�tESS: _ CTTY: ZIP: <br /> � NAME: REGIS'I'RATIO�t# <br /> TYPE OF tiYORh: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration _ <br /> ED'4'�ORK describe in detai�: �� �� `�� d <br /> ?R�T�S ( <br /> ST'ORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BElJROOiVSS: GARAGE STALLS: ATT'• _____ DET. � � - . . � <br /> EST .T1-i TAZ'ED CONSTRUCTION VALUATION (excluding land): $ � � � � <br /> I hereby apply for a buildino permit and I acknowledge that the information above is complete and <br /> accurace; that th�work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildi.*�� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and thac the work will be in acc rdance wi the appr ved plan. <br /> A.PPLICAi�"T'S SIGNA'TLT�E: D�'�: 9'! �/� <br /> NO�'E! Parade o,�Hornes events require separate permit approval by Police Department and <br /> � City Council 60 days prior to the event. Non permitted events will not be allowed. <br />