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To►�Fee: S /7�. � `> , �:� Daa Reusived: �C�'- // o � <br /> �E�u�et�ed By: �z� �L�- ����1� ;, �?-' P�er+oak A�: �1 `�� 7� <br /> � �r-- i <br /> jo,1��.� CI'T"Y OF OR�NO - BVILUING PERMTI' AP'PLICATIDN ��t���l . <br /> `)���� '� <br /> " ' ���V:r A131nlo�aHon must be submltte�ln Nll beiore plan n�e,Y will 6e started. . , I`� �-��I� <br /> �r�E yrt�r ait ��o►,►�a�o�) E�'(-�^ _ <br /> _� ._.. __._ .�_�.._____..------- :j-�� I �� <br /> R CONTRACI'4R r M `-�� �,.1 _ <br /> T� ApPLICAI�'T IS: (clrcte on�) OWNER 0 <br /> ;, _ ') ZIP `�`.' -'�c:;�. �0<<�' /.�.������ <br /> JOB S�'!'�ADDRFS5: 4� �,' ' � ��� - - <br /> 'I"F�c,��n�.`.�c� <br /> NAME OF OWt�1ER: �.��F'c�.� ��' c,���r�_ PAQNE: (home)`'��.��-` •� `��-,-_14��' <br /> (worl� <br /> � - ��� � Cl'1'Y: C" rr�l1C'�� ZIP: �-,�`i==`:) -� <br /> MAII.ING ADDRESS: ` 4" C i- . -�i, . .� - - <br /> C01�1'T'RACTOA7 �'� �a. Tle.�� �- �C?�� c 1-� PAONE: Cn I�;�� ��� 1-�f;t?.:> <br /> CC�IVTACt'P'ERSON: �LX��x�,�c�. � - � MOBII.E/PAGER: <br /> MAII�Il�'G�IDDRE.gS: � C `�� =:�1 '.1,�'� e CI7'Y: lti'\,r-�i��,.�...'` � �• -`�`�q. " <br /> STA'1`�LICEI�SE: I,��;}���;��('X���3._ , <br /> ARCHTfEGTIENGIN'EER; PH4NE: . - <br /> MAILII�IG AUDRESS: CTTY: ZIP:„_. <br /> NAME: REGTSI'RATIOv+M <br /> TypE pF WORK: New Addition Accessory Stcucture ._ <br /> MOVE RemfldeS/Alccratioa_,� L.and Alteration ._______ <br /> PROPO�ED'WORK(deJcribt tn deral�: �TE,�,,� - - ��r' � ��..�1�:.�L`�� <br /> l r�l`�-� �� �`_� <br /> STOR�S: � SQ,FEET OF EACH FLOQA: <br /> NO. 4F HEDROO�iS: GARAGI�STALZ.S: ATT• DBT. <br /> FST�IATED CUNSTRUCTIdN VALUATLON(excludFn��and1: 5.,._�.,� •�l.U.— <br /> 1 t�ereby app�y foc a building pernut and I acknvwfed�e that the in!'orrnation above u cornplcoe snd <br /> �avran; thet the wosk will be �n confocmmnce with tbe ardinar�cs a.n�d�ades of the Ciry end alth <br /> tl�e State Buildit�Codc; that I ut�derata� tbis is aoc a permit ead work is no�tv �rarc withoot a <br /> permic; and that tts� work aill be in aceecdar�ce with che approved plarl. <br /> . -, <br /> APPLYCANf'S 'SIGNATVRE:`'- �.e.�. .�,.,_e `� .. ` I DATE: C`� � 1 � � ��' I <br /> NO2'B� PO !,S tvtnts rtqu�rt �epQrata p�rmlt opprovoi by Police Departncent atcd <br /> GYty Covnc�l 60 dayt prior to the eve�t. Non ptrntitt�d tvtnts w�tl no�bt allowtd. <br /> � <br /> ���, <br /> � <br /> ZO "d t�L�b =60 ZO-tt-'��O <br />