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�AY-11-07 08:06AM FROM-Restoration Professionals 651-3T9-1991 T-624 P.002 F-457 <br /> � ' .� ��1�!'iLou-e.9 �°-"""" S 1'� a-r <br /> e F��►.�,�� ��,��. ��p• �y. <br /> Total Fee: � `� � `�� , �� pate Received:�� <br /> Entered Sy: Permit#: !�=�r-0-� _ <br /> C�TY OF ORO�TO —BUII.DING PERMYT APPLICATYUN <br /> All information must be submitted ia full be�'ore plan review will be s�arted. <br /> (j�lease print all information) <br /> TAE APX'LICANT IS: ,,,, (circ[e one) OWNER OR ONTRACTO� <br /> ���� <br /> JOB SITE ADDRESS: t�a e�� i�� Z�: `�3R I <br /> 'Will this be a Parade of�Iomes,Remode�ers Shorvcase I'�ome or other Displag�Hnme? <br /> ❑ Yes �NO If yes,a specia!evenl permit is required wrlh Police Departmen!and C�Q•Council apprwal <br /> 60 days prior ro the evenL Shuttle bus sernice wr1!be required unless appl�'cant demores�rales <br /> su�cient on-site parking is available. Non perrnrtted events wi!/not 8e crllowed. <br /> N.AMEOFOWNETt: 17 ��C � ,�►,! PHONE: (home) �--�-1�� -�ei6 <br /> (worl�) 6,a- s�� - y�� <br /> MAILING ADDRESS: _�oa o Nc��cH� �2_CITY: O��xi , Zn.': �-3� � <br /> CONTRACTOYt: �:.S�e,�� ���,�r�S PHON�C: C:�� ��_990 <br /> CONTACTPERSON: C.�a�� w�k�a.j�c-r MOBIT.E/PAGER: �'�► '32�F �C'9 <br /> M�ILINCYADDRESS: 5CS l��ua� CTTY: S�. Pk-�-- ZIP: k1 -S <br /> STA'TE LYCENSE: # ��"� `i� � w� EX�IRATION DATE: 3 � I �� <br /> ARCHITECT/ENGINEEIt: PH�NE= <br /> MAILIIvG ADDRESS: CYTY: ZIP: <br /> NA,ME; REGISTRATIO�T: # _ <br /> TYPE OF WORK: Ncw Home Addirion Accessory S��ructure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) �_ <br /> Any earth movement may require MCwD review and permita! <br /> PROPOSED'WORK(describe in dela��: �1 oL� �Lt E�carn�� � �r�K+i� �v�E S� s��'"'' <br /> �o�r�i, �JA� �(.GS.�� S� VtC.rm�,� /�KV.S Lb�uCl� 12.a��1^ V 4?:�- S� 'f�,�Q�c+r"l -�__S-{..�,4Crr <br /> STORIES: �Z SQ,FEET OF EACH k�00R: 'LSo d <br /> NO. OF BEDROONXS:�_ G.A1tAGE STALLS: ATTACHED 3 DIETACHED� <br /> ESTIMATED CONSTRUCTION VAY,iJATION(excluding land): ���:x�4 0•� o�� • <br /> I hcreby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work will be i�n conformance with rhe ordinances and codes of the City and with Lhe State Building <br /> Code;that I understand this is noc a permit and work is not to start without a permit;and tha.t the work will be <br /> in accordance with the approved plan. <br /> ,A.PPLYCANT'S SICNATURE: � ���-�'� DATE: � I I 6'� <br /> 31 <br />