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� ~ CITY OF OR0:70 - BIIII,DING PERMIT APPI�ICATION <br /> Dat� Received: <br /> ^otal Fee: $ <br /> Date Approved: <br /> Entered By: Perr.titT: <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FULL BEFORESe�N �vIEW W��' BE STARTED <br /> (See Check o�f List ________________. <br /> ------------------ <br /> --�--�--------- <br /> ----------------------- �- <br /> TI�E AppyICANT I5_ ( circle one) O��TNER o� CONTR.AC-TS?�- <br /> .�� �f-}�\J`-� ���-�"f'�-��- ��. Z IP: <br /> JOB SITE ADDRSSS. <br /> (work) <br /> . �D j; I��--� PHONE: (home)������� <br /> NAML OF OWNER'� ��� <br /> MASLING �D�SS: ��� c� <br /> ���, c�-r�.� ��: �z�: ZZP: <br /> ��� ,��U L- <br /> PHorrE: ��� �l� � <br /> CONZ'RACTOR: � <br /> lufAT <br /> zzx� ���ss: !-1 LfZ � I���-1��0������ cz�: � �Nn��n�i l-� zzP: �S,S�� <br /> STATE LICENSE: � <br /> PHONE- <br /> ARCHITECT/ENGINEER= <br /> CITYs ZIP: <br /> MAII,ING ADDRESS: <br /> R.EGISTRATSON a <br /> N�: <br /> Accessory Structure Niove � <br /> TYPE OF WORR: New Addition Land Alteration <br /> Demo <br /> Remodel/Alteration Renovate <br /> P�tOPOS <br /> ED WORR (describe in detail) � ��'L'�U�� ��� �� �� � �i�� <br /> -� — �-I I N�L�� <br /> STORIES: <br /> � SQ. FEET OF EACH FLOOR: �O�� <br /> NO. OF BEDROOMS: GAR.AGE STAI.LS: ATT. DET. <br /> EST <br /> IMATED CONSTRIICTSON VALIIATION (ezcluding land3 - $ �`��� <br /> I hereby apply for a building permit and I acknowledge that the informaticr <br /> above i s comp l ete and accurate; that the work wi 11 be in conf ormance wi�ha�hE <br /> ordinances and codes of the��iand work ishnot to start without a permit; anc <br /> understand this is not a perm ce with the anproved plan. � <br /> that the work wil 1 be in ac o I <br /> l �-> <br /> � <br /> / DATE:� � � <br /> APPLICANT'S SIGNATII�tE: <br /> I <br /> �� <br />