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<br /> rc�uc�r� �tir cr�i �� _'���
<br /> ���-�/� C it�� uf( � �` �
<br /> /��� [ C� R���� � � ���V f)atc Rcccn�cd: _ Pcrnui r � __
<br /> _ -n f�.�,���.�.��:� � — — —
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<br /> �.l �� - � �pl n;�cd B� \ ��,,..,.. `
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<br /> /` ` f i �•, di'`�I%,R�:��, r i_.�.r���n __.. .-- ____.
<br /> � 1 j
<br /> �, ��~�'1 �'�` CI"1�1' OF ORO\O I��IE('F1.1�1(':1l PEK�11"f
<br /> �"�r�i�,�`' � � - � �,
<br /> ��A;l(���°,���ncrei�.�l�crinit.inu '�hr�.��,�nn�r�l h,�ihc R�iil�ur_ ����i..���. �i; �,rc�,i..i:�l���r I���c At ii.l���
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<br /> GENER.AL INFOR�'VIATION �
<br /> � uu ma� .3����1�� fcn�mcch:inical ��ermi[ti h�� mail �r in per;nn:u [hc Cii����tfic�•. �����lic:uiim,���ill
<br /> hc rc��ic���cd ,u��1 a E��nnit ���ill hc i;;ucd���ithin t������ti�<irkin�_�I�ty,.
<br /> {'�rmii card� ���ill br;�nt h}' rrltn�n maii aft�r a re��ie�e is ce�mpl�t�d. I'CR\tll� .ARF \��l�
<br /> V�:AI Ili l'\l�i! `'Ol: RI��.("EIV[�: :1 Pl-:R111�1�. ���OR1� �IC�ST V�(�'I' BE�GI\ 1�1�ffLl�liE
<br /> i'F:K�11"C C:UZD Iti F'OtiTF:D O1 "THE.IOB ti1�1�E.
<br /> \1;�h,�ni�;;l I)��i�nr l�����.it�ictr culct,l.iti�,n,. dctail;und�p�cilicati�in,ar�rc�{ui:��cl t�,r c�i�n
<br /> h�:uin��. ��i'�til:ition.I�umidi;icatiq��-dc^h��mi�iificati��n. and air���,nditionim� inst;�ll:itiun incluciin'=
<br /> h�.�t lus; hc:�i eain .aici:l-��i��u.d�.,�en :.m�;ei;:;:u�<, =����.i,ment���:itii�_t::�n�i i�i�nti�i��.�!irni .0 Ir,
<br /> t��E,�. in:unii:u,ur�r an�l ni�xlrL D;ii,�.h;ili h���r�,�n,����n I��rm��r���idc�l.
<br /> �. AV'ii.n an��nc���c��nstru�t,��n ur rcm���lclin��i> in��vl����i. ��i ,c�rirut�huil�iin_permit mu�t bc
<br /> ubt�iin��l.
<br /> � lil �ti�irl: mu�t h��iunc in aceord<incc���ith th� L`niti�rm �1cchanic�il C��dc,�tit,it�Rnildin��C���Ic
<br /> r���uir�n��nt�.
<br /> �,. �\Il���ur'h u�u;t hr in:p�cicd (r�ius!h-in ;uid flna!L C.ill �9��1�-1�)--1h0U.
<br /> �2-4--�R huur no�icc requirc�i)
<br /> -. 11nu�c{I�:itm�_T�:t R�c��rcl mu,*b�� suhmitted bct�,r� tinal.
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<br /> !1�YPE OF YER��1lT '
<br /> � (t�hecl< All �t'hat A��Iv)_ _ �
<br /> �Z�;icirntial ❑('c�mil�crci.il (:1Ei��ru�.�l IZ�yuir�s)
<br /> \���� ❑ ;1d�iitional ❑ R�F�air; ❑ IZ�pl:i��
<br /> _ _ _ —._
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<br /> �� J��b Site ,�� Owner Informat�on: �
<br /> __ --- --- ---- ---�
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<br /> ���� �1�i��-��; � ��� —�_ �—
<br /> [�1�'�1ailin� :�ci�lr�tis: `�{� _�___��
<br /> C)«i��r,� � -���
<br /> (�i t� _�� ,t>�'l�— _ 7 i p: _��_..��_---
<br /> Hoin� Phon�: 1��_-���"�� �� � ,11tei �a�P�n': ------- --� ---
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<br /> Contract��r lnf��n�mation: �
<br /> _ _---- _ _ ___ ____—__—
<br /> t onira�tc�r� �_ '�C�`�t� �c�rtact P�eson: _���
<br /> 1��ael`_u�
<br /> L�
<br /> ��,�,«�: l�_ -- � ������ E3�>p� :. rnc��.�_��
<br /> C'itv I���_. l����d�i�irati��n [),lt�: �����---
<br /> {'h��ne: ��'�-=�-4������ �Itcrnatc Phunc: ___ ---_
<br /> � �Ilitlt(l1:CC— � Ul"CC;III: �Q�2�_� `_-I�� �� � 1�
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