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� ��• �S DateReacived: - C� ��7 <br /> Tofal Fec: � <br /> Entered By: � v Pcruut#: <br /> C1`I'Y OF ORONU-BUILDING PERMiT APPL�CATiON <br /> All intormation must be submittcd In full hefure pl�.r►rcview will bc startcd. <br /> (,please p�int of!infotmat�un) <br /> ---- --------- ---' <br /> THE APPLICANT 1S: (circle one) OWN�L2 CONTRACTUR <br /> JOBSITEAUDRFSS: /�.����-'�� '' L1P' S`5,�(�7 <br /> Will this be a P�rade of Homes,Remodclel'9 Showcase Home or other Di�pfuy Home? <br /> [] Yea �o If yes,a spe.cic�l even�rrermit i.s requlred wilh Police�17epurtmerif und Crry c:oan�:ll apprc�val <br /> � 60 days��rin�tu Ihc everr�. Shultle hus sFrvice wi11 hc rE�quired unlessr upplican�demunsrratr.s <br /> su�J'u:icna un-sitc yurkinR rs availabLE. Nvn-pe»n1[led cvents wil�nor be allowed. <br /> NAME OF OWNER:�/Gl� : - � � f,r PHONE�: (h���)�r2 � � <br /> (�) <br /> MAILING ADDRESS:��.9����-����� CITY: f�7 � Z1P: � <br /> CON'f RACTOR: Pi���� <br /> CONTACT PERSON: MUBI[,EfPAGER: <br /> MAlI.ING AllDRE5S: C1TY: � ��= <br /> S'1'ATE LICENSE: # �XPIItA'�'ION DATE: <br /> ARCH ITF.C'rlF.NGIN EL�R: PN�N�"' <br /> MAILING AUDR�SS: Cl'TY: _ _ ZIP: <br /> NAME: REC,IST1tAT10N: # <br /> TY�'E OF WORK: New _.. .._. Addilion i _ Acces�ry Struct�u-c _._ .. <br /> Move Home ._ „_ Itcmo�lcl/ ll rati ✓ <br /> � <br /> PROPOSED U (de cribe in detal�: <br /> � af° � � <br /> h,stt��� c� �.'i • <br /> S'rOR1E4:' SQ.F'EET OF�ACH FL001L <br /> NO. OF BEDROOMS: GARACE SfALLS: AT7'ACHED DETACNED� <br /> ESTIIV�A'fFD CQL�ISTttUC'fION VALUATiUN(cxciuding land): � � <br /> I hcreby apply for a building permi[and I ac:knowled6c that the infoz�tion ubove is complete�nd aecurate; <br /> that t�e wc�rk will bt:in cvnfvtmancc wi��h thc ordinanees and codes�f the City and with the State 13ui1ding <br /> Coae;th�t 1 undergtand this is not a perinit and work is not to start without a permit;and that che work wi11 be <br /> in accurdance with lhe approvcd plan• <br /> APPL1CaNT'S SIGNATURF: <br /> �_ DATE: O` � � <br /> 31 <br /> .._ - ---- --�:.`�a <br /> ZO'd H�-b=60 t�O—ZZ—��O <br />