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11/12/2601 21:09 9528291883 TURCO PAGE 02 <br /> Nev-OB-200i '0�600m frcm-CITY OF ORONC +pSZZ4B1B16 T-161 P.002/003 F-936 <br /> 'Total Fee: $ + � � �C Date Reccived: <br /> C� Enkered B�: J�� f� P�mnit�: - <br /> ^�'� � <br /> CITY OF ORC�NO(- BUII�D]NG PERNIIT APP`LICATIOlri <br /> ��v <br /> �� A11 informetton must be submitted in t�ll before plan review will be started. <br /> � lease rint all sn Ormation <br /> �P P .f ) <br /> C � ---------------------------------------------__---_.�------___ --- - - - .�._.........-------- <br /> �� THE APPLYCANT I3: (circle one) OWNER � CONT'RACTOR <br /> v�� <br /> J08 SITE ADDRESS: 3 Z I� L-�Fa y f,-/�'�� (�C,� � ZIp: j s �R � <br /> x�.r� oF o�v�R: o ��1 ��nlE�_ Pao�: cr��� �'�Z- �7� ��97 <br /> � , � �Worx� Co�z��z.-- <br /> MAILING ADDRFBS: .��2-(S ��.y�,tf� /�(��/�CITY:��N D ZYP:_e�� I <br /> CONTRACI'OR: V�� C d�5� �c.T'/nn� PHONE: (s�S S�— ��Z Z� <br /> C4NTACT P`E�tSON: � . I/��S MOBILE/PAGER: / Z— � /0 5 <br /> ?�1AII..ING ADDRESS• '� ; � CITY:��,�s�/ ZIP- �SL I <br /> STAT'E LYCENSE: �1 � 7��I <br /> Axc�r�er�NGrnr�a: Pxo�: _ <br /> !V1AIi.ING ADARESS: --- - CY'�Y: ZYP: �__ <br /> NAME: � REGLSTRATiON�1 <br /> T'YPE OF WORK: New Addition .Acccss�ry Structure _- _---- <br /> Move Remodel/Al�ecation � Land Alt�r�cion� <br /> pR�POSEb WORK(d�scribe i�de�at�: _�� (/� 00`� <br /> STORIES: I 5Q. �`EET UF F;ACH FLOOR:_ <br /> NO. OF a�DR00MS: GAltAGE STAY.Y.S: A.'IT• DET. <br /> EST,YMATED CONSTRUCTION'VALUAT[ON(exclud�n�lan�: $ "T(o � � <br /> Y ht�eby apply for a buildin,g pccxnit and I acknowlcdge r.hat the inforn�ation above is cornptete and <br /> accurate; rhac rhe wor�Wi��be in conformanc:e with the ordinances and caks of che Ciry and with <br /> the State Building Code; chat I undersrand tt�i� is not a permit and work is t�o��o stazt r��ithou: a <br /> permit; and that the work wil] be ixr �ccatdance wtth the approved plan• <br /> APP`LYCANT'S 5XGNATURE: D � l����' DATE: �l J I�'b�---- <br /> _^�� <br /> NOTE! �s events require separate pe,mit approval by Police Department and <br /> Ciry Councit 6U days prior W the event. No�a pe�mteted events wtll not be a]lowed. <br />