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. - <br /> Total Fe�: S ,>� q7: I� DateRec�i��ed: <br /> . Date:�Qoroved: <br /> , � ' _ ,� �,��_ <br /> Encered Bv: �',�� Pe:mi�T: <br /> CITY OF OROtiO - BU�ILD�TG PERNIIT �.PPLICATIO�t <br /> :�LL Lr�'ORIL�TIO�IILST BE SL-B�iITTED li`+F�ZL BEFORE PL��REV�tiy tiV�II.L <br /> BE ST:�RTED <br /> THE �PPLIC:�:��'I' IS: Y (c:rc:e one) O�V�ER OR O�iTR�CTOR <br /> JOB srrE �Dx�ss: ��►� 1 ���. , ►,'��A� .� �c-� zrP: ��5� <br /> J <br /> N�l�1E OF O`VNER: �Di"1G��� SC v"� PHOti'E: (home) �-( 7� �(�1 <br /> («�ork) <br /> I�L�II.L�i G�DDRESS: a300 1 �r���1�i.�• CITY: j�?c�rlc� ZIP:�3�'� <br /> CONTR�,CTOR: l�a�oc.lC-- �.Qrc�n � �; �<., PHO�tE: `7c�.�—�7/a�� <br /> �IOBII..E"Pi#v�ti��P:�GER: <br /> �IAILL�iG�DDRESS: a30°I ' c - �- CITY: �S ZIP:���-�Q <br /> ST:�TE LICENSE: � �Dc��`-��-� <br /> :�RCHITECTr`E�G��EER: PHO��E: <br /> 11.�II.LtiG�DDRESS: CITY: Z�: <br /> ��:�1E: REGISTR-�TIOti � <br /> TYPE OF `��ORIi: tiTzw :�ddition Accessorv S�ucture <br /> tilove Re:nodeL�.�lte:ation � ?and�lteranon <br /> � � CQ,'1�1 Is V� <br /> PROPOSEDtiVORh(describe indecail):.L�� -� <<� �J`'� Q� <br /> t't�C��`��' . �c� <br /> STORIES: SQ. FEET OF E�,CH FLOOR: <br /> �,rp. OF BEDROOI�IS: G�R.-�GE ST:�LLS: :�TT. DET. <br /> �-� <br /> ESTLtiI�TEDCO�STRtiCTIO\V�I-L:�TION(escludin�land): S (� �c�5 �� — <br /> I hereby apply tor a buildin� pe:�ut and I acknowledae that the information above is completz <br /> and accurate; thac the work wiil be i.n coniormance with the ordinances and codes of the Ciry� <br /> and �vith the State Buildin� Code: th�t I unde:stand this is not a permit and work is not to start <br /> without a permit; and that the worK wiil be in accordance �vith the approved plan. <br /> � ,��- ` Z � �`�-- <br /> APPLIC�v'T'S SIG��,TURE: � �DATE: �I— . <br /> �YOTE.' Parade of Homes events require separate permit approval by Police Department and <br /> City Cauncil 60 days prior to the event. Non-permiited events will not be allowed. <br />