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. - �;��, . � � . , � <br /> Total Fce: $ Datc Received: �... J_ �/ <br /> � Entered By: //� _ � Permit#: .�} �'3(�,�� <br /> _, . <br /> , `�/`;���i <br /> �c � ,�� <br /> CITY OF OROl�TO � BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: ���(�('? () ,���,v j ,� ZIP: ,j�C/ <br /> � PHONE: (home) - -7�,�g <br /> NAME OF OWNER: ,[1�CJ�� ��?n / <br /> (work) <br /> MAILING ADDRESS: � ITY: ��,Q�,��p ZIP: ✓r-S.�g/ <br /> CONTRACTOR: ,�/��f��/,lf� /.��Lo,Q,Y ;PHONE: 7��-�77�-/I�� <br /> CONTACT PERSON: ���J ��.d/� MOBILE/PAGER: <br /> MAILING ADDRESS: /GGS��a����/ _,�CITY: /��/u�ZIP: .�.� <br /> STATE LICENSE: # �{'���� <br /> ARCHITECT/ENGINEER �S �� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> ��.� l t <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G�c� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, �d0. <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 Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with e approved plan. <br /> APPLICANT'S SIGNATURE: " � �y2�� DATE: ,�•��'�� <br /> NOTE! Parade of Homes eve ts require separate permit approval by Police Department and <br /> Ciry Courzcil 60 days prior to the event. Non permitted events will not be allotived. <br /> 5 <br />