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i <br /> CITY OF OR�NO -, BUILDING PER�iIT APPLICATION <br /> Total Fee: $ � Date Received: <br /> , Date Approved: <br /> i�; � <br /> Entered By: ��'� " u. � � . <br /> � <br /> Permit,r- ,t �' <br /> AT•T• INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PI�AN REVIEW WILL BS START`ED <br /> (See Check-off List Encl.osed) <br /> ------------------------------------------ <br /> TgE APPLICANT IS: (circle one) OLVNER or CONTRACTOR <br /> JOB SITE ADDRSSS: 'L� �%�' F�I� ��Al:k� , ZIP: <br /> (work) <br /> NAML OF OWNER: Cr � � �� ��=-v�= PHONE: (h ome) <br /> MATLING ADDRESS: {GQ).�, P�K�.%•�_ CITY: ZIP: <br /> CONTRACTOR: � � 1- v�'�s�'R.v c_T2�,v _ PHONE: ,f.S' �.�.5�" -� l/� <br /> MAILING ADDR.ESS� ��: c v .,.�c's'r�/'�►v �Iv-� CITY: t:Jf�' ��•��/'� t.�.�Sc.ZIP: _� Y ?cz - �•�Z� <br /> STATE LICENSE: # .'v�� <br /> j�Dl�ATT17('T L27NG�: �G�U�'/�T-� �� x��-�;�ti/P.tCA C..k (:/v i�-� PHONE: 7/S Z 3`f cl'C S `� <br /> MAILING ADDR.ESS: f � c_-ASr ��4� c.�-+'}r�� `�TCITY: cl�J CL��rL �,;� ZIP: ���1� <br /> NAME- ��.,c,%�,3�•�-{ `�-"�-��"� REGI STRATION ,ur /�'�S fS" <br /> TYPE OF WORR: New�_ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovat� Land A teration <br /> PROPOSED WORR (describe in detail) : ���-�r S; � =-< '�--'�� <br /> STORIES: � SQ. FEET OF EACH FLOOR: ����'I <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATT. DET. <br /> �: � <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ 3 7 �� <br />. I hereby apply for a building permit and I acknowledge that the information <br />� above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATDRE: DATE: <br />