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�9128/2905 10:53 19528951914 RONEL CORP PAGE 02 <br /> _ � <br /> c,� �,�- <br /> Tot�tl Fee: $ I S�I. D � Date Received: ' °1�a�-,lJ� <br /> Entered sy: Permft#: ��9 a 3 <br /> CiTX OF ORON'O - BUILD�I�TG P�RMIT APPL�CATION <br /> All ittfOrmat�o� must be submitted in full bcf�re plan reviiew will he starte.ci. <br /> (please print all informal.ior�) <br /> ------------------ -----------------------�-�-----_--__N�,..,._ <br /> T��A.PPLICANT YS: (circle one) OWN�R O ONTRACTO�� <br /> JOB ST�'E ADDRESS: 2��D C,��-SCd /"ai,��- � ZTp: S�S�Q <br /> Will this be a Parade of Home,a,Remodelers Showcase Home or other Dispia�Home? <br /> ❑Yes �O I,f yes,a specia!event pel'�nit is r+equrred with Palice I�epar�me�f arid City Councll approva/ <br /> 6o days pr�ar ta rhe evenf. 5'huttle bus service will be regreired unless applicanr denronstrat�s <br /> su�cienf on-site�arkeng is availQble. Non-perrnit�ed events wil!not be allowed <br /> NAME OF OWNER: ��Nk.. � {��",G4 y ��- . .r��PHONE: (home) �7/ � ��O 7 <br /> ,D (work) <br /> M.�ING ADDRESS: ��Z O �SGo Pnrr-�p CI'TY: ��o n1p ZII': ,�� <br /> CONT'RACT�R: f�-o N�.- 1��3��s�r?s,•�s PHONE: ��� S'9S�`906 <br /> CONTACTPERSON: �.f+ 4 MOBILE/PAGER: <br /> MAILING ADDRESS: �S'o.S C t_��� 1� F CITY:�3t�,�.���'Y�4�.�7, : -.�7 <br /> ST,AT�LICENSE: # 2 l S k EXpIRATION DATE: 3 C7 <br /> A!i(:H!'TLC'IY,ENGJ,�i,EER: PHONE: � <br /> M�L�NG ADDRESS: CTTY: ZYP: <br /> N��: 1t�CGISTRA'x'�0�: # <br /> �'XPE OF WORK: New � 1�l3dition AcccScnry Stn�cfine <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe irr detail}: ��f��.A�,C_�� ,,��b�-'1 N'G <br /> STORIES: SQ.FEET OF EACH FLOO�i: <br /> NO. OF BEDI20dM5: CTARACTF CTAT.i.�: AT'Y'd.(_'k�Ell DE't'ACH�D <br /> EST�MATE�f CONSTRUCTION VALUATION(ea�ccludiug land): S____7, �4-� <br /> I hereby apply for a bui.adin,g permit and I acknowledge that the infozmation above is complete and accuratE; <br /> tha.t the w�rk will he in ennf�rtnAn..ce.with the ordinances and codes of the Ciiy and with the State Building <br /> Code;that i understa.n.d thxs 1s zto'C a pemtit and work is not to start witbout a perrnit;and that the work will be <br /> in accardance�uvith the approved plan. <br /> APP��CANT'S SYGNATURE: DATE: �7 O� <br /> ,` ._. <br /> 3l <br />