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. � DateReceived: �' /�� 95 <br /> ' , Total Fee: � :'� /"' ��`� - ' Date Approved: <br /> Permit�: `��%�c <br /> Entered By: �'I <br /> CITY OF ORO�tO - BUILDING PE��T �PLICATION <br /> ALL I��'OR��LATION I�nST BE SUBI�LIT'I'ED P��L$EFORE PLAl'v REVIE`V WII..L <br /> BE ST�RT'ED ---------- <br /> ---------------- <br /> ------------- <br /> --------------------- <br /> cucle one) OWNER 0 COVTRACTOR <br /> THE :�PPLIC:�:�'I' LS: ( � <br /> JOB SITE �DDRESS: <br /> ��1� ��li�����_� 1� /-I ,� ZIP: <br /> �V ' I � �/ y �. <br /> J PHONE: (home) �?� � , <br /> NA.1TE OF O`i'1�R: � 11 L work) y-;'�C - �u�u <br /> �I:�ILL`G�,DDRESS: <br /> ��� �� "1�. S �Y: �'" ZIP: <br /> )/� � �/�,� PHO�tE: °� � — <br /> CO�iTR�CTOR �_� <br /> I��OBILF PHOi�tE — <br /> �I:�II,L�;G�,DDRESS: <br /> j`/S�I-�01��� ��� ��' crrY: z�: .� ( <br /> ST:�TE LICE`SE: � <br /> CT,�EtiGL�+�EER: %lJ/�F�� � � /V PHO�TE: , J -y' --- <br /> �CHITE � CTTY: � �,6� ZIP: �-- <br /> l�i:�ILL``G:�DDRESS: � 7 � gEGISTRAT N # ' <br /> N�tiIE: <br /> Addition Accessory St�*ucture <br /> TYPE OF `�ORK: Ne`,`� Remodel/Alteration� Land Alt�rarion <br /> Move <br /> ' describe inde:ail): �N �� U � � �� � `"/ <br /> PROPOSEDWO�( <br /> i -�l <br /> STORIES: _�____ SQ• �ET OF EACH FLOOR: DET. <br /> `O. OF BEDROO�iS: G�iRAGE STALLS: ATT. <br /> ESTLI�iA'TEDCO�iSTRUCTIONVAI.UATION(eYcludingland): $ <br /> � <br /> lv for a buildin� ermit and I acknowledge that the information above is complece <br /> I hereby app . � P <br /> and accurate; that the work wiil be in conformance with no �ad��iL and workes not to start <br /> and with the State BuildinQ Code; that I understand this is p <br /> without a permit; and that the work � � be�� accordance with the approved plan. . / <br /> APPLIC:�'��''S SIG�tATURE: � � DATE: <br /> � , <br /> mes events re uire se arate permit a�proval by Police Department and <br /> NOTE.' Par=��0 4 P <br /> City Council 60 days prior to the event. Non-permitted events will not be allotived. <br /> 9 <br />