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• r '`" CITY OF OROP70 - BIIILDING PERMIT APPLICATION <br /> iotal �'ee: $ / ��' �" �' Date Received: <br /> � Date Approvea: <br /> ,f� <br /> Exltered By: � ���? (� �, G' <br /> ,1 Permit�: ��% ������ <br /> �L.I� INFORMATION MIIST B$ SIIBMITTSD IN FIILI. BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------------- <br /> � APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> - ' �� �7 C <br /> JOB SITE ADDRSSS: ��y� `' ���c���.�) I� �-� � � � ZIP: �� �� � � <br /> (work) <br /> � <br /> NAME OF OWNER: ` 1C�-VYt-���� �/�`� �'�"'?(-�.� ���, PHONE: (home) '�'7/�%� `l :,'- <br /> MAILING ADDRESS: ��'G.G�^�`-{� CITY: ZIP:��r-�— <br /> CONTRI�CTOR: (o��Q`�yL„�,�- PHONE: �� �� --�_ <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> A.RCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> Np,�: RBGISTRATION n <br /> TYPE OF WORR: New Addition� Accessory Struciure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> , <br /> PROPOSED WOR.R (describe in detail) : <br /> STORISS: SQ. FEST OF EACS FLOOR: <br /> �70. OF BBDROOMS: GARAGB STAI.LS: ATT. DET. <br /> \ , <br /> �STIMATED CONSTRIICTION VALIIATION (eacZuding land) : $ �; C� ��� <br /> �. hereby apply for a building permit and I acknowledge that the information <br /> :;:bove is complete and accurate; that the work will be in conformance with the <br /> ��dinances and codes of the City and with the State Building Code; that I <br /> :?nderstand this is not a permit and work is not to start without a permit; and <br /> �:�at the work will be in accordance with the approyed plan. • <br /> /� <br /> � ��� � �� <br /> / � ;' , <br /> � ;� ,, <br /> �1 � � c <br /> :�.;�PI�ICANT'S SIGNATDRE: , , .. r DAZ*E: <br /> I <br />