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02f2712002 14:14 612-475-3328 LAUER HOMES INC PAGE 63 <br /> Feb-Y6-2002 01:18pm From-CITY DF OROHO +p5224�4616 T-T58 P.00�1002 F-611 <br /> ' �� Trate Received: r;�. <br /> Total Fee: $_ /�^ l,< , � �_� <br /> Entered 8y: i; ,-: ��rmit�: � . <br /> � � � <br /> CI'1`Y OF OROrTO - B�DING PERIv�IT APl'LICAfiION . <br /> � AU information must be subnaitted fn Pull befiore �ytau review will be started. <br /> (ptease print afl ir�'nrnutti�:►n) <br /> --_______---- ----------------------- �..._.........__--------w-------_--___---___----____� .._ <br /> TH� pppLiCANT IS: (ci�cle one) OWNER OR CONTRACTOR <br /> �OB S1TE ADDR�SS: 8iS Ps��tv�n ,�• ZYP: SS�.� <br /> � 9�� . <br /> NANI� OF OWNER: �i«a � .O,vE � PHONF: (home) y�.�'-Z /�� <br /> (work) 9s2�-�73--�iz9 � <br /> I1�1AIIrING ADARF.SS: �'/��iF�T��/rooa/.�.,, O� CI1'Y: (.��/��- �IP: s5�.� <br /> COIVTRACTOR: G�E>c- J�d�xf s��_P'�iiONE: �'SZ -y7S-��38 . <br /> CONTACT PFRSON: ,�a� ,sL�i�P� 11�OBIY;��/PAGER: <br /> MAII�YNG ADDRF.S9: 4.�/�, �s� CT�t'Y��y� ZIP: � <br /> STATE LICENSE: #?�? Qo/S � <br /> , <br /> ARCffiTECT/ENGII�TE�'.R: PI�ONE: <br /> 1VlAIi,IN('r ADDRE55: CT'['Y: ZIP:�_,,,,� <br /> NaIV�: �tEryISTRATION�/ <br /> T7�'P� OF�'VORK: New Addition�, A��es�sory Savcture <br /> Niave� RemodellAlteratioa�_ L.a.ad AltcratioA <br /> PROPOSED W4RK(describe lra dera�n: ��+ve � s 2 <br /> SC'�6sv �DrCG�f p�� -.���iL�D� �> a/�.�/a zr <br /> gTQ�g: � SQ. FEET OF F:ACYI FI.O�A: <br /> NO. dF B�DROOMS: � GARAG�E �uTALLS:' ATT. DET,. <br /> � <br /> �,c�YN1�'T�D.C�NSTRUCTION VALUATION (excludinE 1aDd): $_�A�na�.�tL�� <br /> I bereby apply for a building permi�and I ackaowledge that�du infor�nacioa above is campieu ar�d <br /> aceurat�; rhac the work wil!be in confocmarue wlth the ord�aau�ces a�d evdes of the Ciry and with <br /> the State Building Coda; c�at i understand this is not a per.mit aud wo�k is not to start without a <br /> permi�; and that tha work �rill be it4 d with ap Qv�4 plan- <br /> APPLICANT'S 3IGNATURE: ' ,,,,_ DATE: � z 7 p � <br /> N,OTE! ��� ei'A�n� everrts requ�re separate permi;t app�aval by Poliee ]�epartinent a�d <br /> � Cuy Covnc�160 days prior rn the event. Nat perndttad events wtll not he allowed. <br />