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�u -21-2��3 �8:60am Fro�-CITY OF OROIr'0 +96224A461E T-8i? P.Ob2/�03 F-C3o <br /> i ' <br /> • Ta�l F�; $ Date Received. _ <br /> F,ntered By: �___r____ Permit#: <br /> CITY O�" ORU�TU - �'C7YY,DING P�ILMIT Al'�'�CATIbN <br /> A,11�formatiun must be submitted in full before plan reoi�w will be sEarted. <br /> ' �piease print all information) <br /> T�3E AppLICA�'�TT IS: (circle one} OW*dER O C4NTRACT� <br /> �a$ S����5�: 9 _ Z�: .�.�� <br /> rr� oF ovvr�R: ��� _ �� psor�: tno�� 9S�—��� _ �a � Z <br /> -- (wOrk) <br /> Nf.AII.iNG ADl)RESS: �CITY: ���_� <br /> co�v�tac�caR: � � � � psor�: ���7� � �o.S� <br /> CUNTAC'I'�ERSON: 1Vi�R�/PAG�R: � / "�S Cf —6 ✓6 � <br /> NI.AIIriNG�AUDYtESs: 3 ar-a ' CY7'Y:,_ Z�: s's D,6 <br /> STATL LIC�NSE: �# r` <br /> ARC�TECT/El�G�',ER: PHO?�TE: -- <br /> MAILTi�CG�A]DDRL+�SS; --- CITY: �:�„�..... <br /> �•�:� RECISTRATI(3N# � <br /> TYPE OF�'YORK: N�w Additian Axessory Structure <br /> Mave � emodel/ uration J..and Atterauon <br /> P�tUPOSED W4RK{descri�e in detai�: .. -- <br /> STOR�S: ^,!,^ SQ.FEET O�'EAC.�FLOOIt: <br /> I\TU. CfF BEY3I�QU�iS: �, GARAGE STALT�S: ATT. DET. <br /> FrSTIMATEA CON'5'T�UC�ON VALLiATIU1T(excludingland): $ �, � <br /> I hereby apply for a buil4iiug permit and I aekiwwledge that thc'vsformation above is aomplete az�d <br /> accurace; rhat the work will b�ut conformance with the ordinanc�s a.nd cades �f tbe Ciry and with <br /> che Sca.te Buiiding Code; tl�at I un,��rsKaud tbis is not a permit and work is not to siart without a <br /> permit; and that the wotk will be in accordancs with the approved plan. <br /> �Lic�c�s s��x�.�: �a�.�: _7— ���a,� <br /> Np��� pa � }jgr„�e}events require separate permit approvar by Potice Deparbnent and <br /> �ty CounciI 6�days p�i�r tv tl�� e�►ent. Nnrt�permi�ed events w��at be anawed. <br />