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, - Tota1 Fee: S Da�eR�cei��ed: <br /> . Date Aooroved: <br /> Encered Bv: P"��7' <br /> CITY OF OROti O - BUTLDIP�TG PER1tiIIT APPLICATION <br /> AI.L Ir�'OR�L�,TION I�IL�ST BE SLBI�IITTED �1�ZL BEFORE PL��REVIEtiV ti�II,L <br /> BE ST�RTED <br /> THE �PPLIC�:r'I' IS:r (circ:e one) O«�`+ER 0� COVTR�CTOR <br /> JOB SITE :�DDRESS: �i%'�'�� '; ; ���,,r� �;`�' �, ,,�_ _ ZIP: �����" <br /> -� v -, - ,,., <br /> N�I�IE OF OtiVNER: .�,��h Yl t 1'(�/�l �-� � PHO�'E: (home) �� l �, ' �;,� ,3! _s <br /> (work) �� � �- �Z i�;'�' <br /> l�1AILL�i G�DDRESS: �'�� =%lII l� U:tG,,� UCti,t�CITY: (U\ ti ZIP:�53��:� <br /> � <br /> CONTR�.CTOR: ��GtX ��GL� �FYP�G-I� �OD��� PHO�tE: �I�- ��a- "1 t��'i <br /> I�IOBIL� PHO�IE/PAGER: <br /> 1�IAILPi i G�DDRESS: �2 3 n �,�,i f�l G�� CITY: ����n n� �is ZIP: S.S Li a�l <br /> ST:�TE LICEti'SE: � pc�x��4 a� <br /> ARCHITECT�ENG�`EER: PHO��E: <br /> �I�ILLtiG�..DDRESS: CITY: Z�: <br /> N��IE: REGISTR�TIOr � <br /> TYPE OF `VORb.: New �ddicion Accessory Structure <br /> Move �e:nodeL��lte:ation �/ Iy�nd.<�lt�rarion <br /> r� <br /> � r� �'� C'Ui�+' U���- .�6'l;: - � � � � '�� <br /> t .-v ,�a,.� ��-�"t. ����;' �'. <br /> PROPOSEDtiVORb(describe inde.�..il): <br /> r_,. , � - <br /> , , <br /> STORIES: SQ. FEE'I' OF E�,CH FLOOR: <br /> \r0. OF BEDROOI�IS: G�t�GE ST�I.LS: :�TT. DET. <br /> ESTLl�1ATEDCO�STRtiCTIOti`'�-L=�TION(eYcludi.ngland): S�,S,�:�`� �'�-` <br /> I hereby apply for a buildin� pe:r�it and I ack.nowledQe thac the information above is complete <br /> and accura�e; that the work will be in coniormance wi�h the ordi.nances and codes of the Cit�� <br /> and with �he State Buildina Code; that I understa.nd this is not a permit and work is no� to start <br /> withouc a permit; and that the work wiil be in accordance �vith the approvedSEP � C 200� <br /> APPLIC��tT'S SIG�t�,TU"RE: 4Z��, , DATE: — <br /> �VOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non-permiited evenis will not be allowed. <br />