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�l5 a- `��� G <br /> —�� � �� . c�� <br /> Total?+E�: $ � Aate Received:______��'r��� <br /> �ate�red 8y: 1 7 i� �`:� ��'�t� Permat#: ; ,l,Q� � �l e�� <br /> �� , <br /> CITY OF ORUNO - BUILD�IG PE�IT APPLICATZON <br /> Al��n�ormation mt�st be submitted in full before p�an xeview will be started. <br /> (please prir�l all�nformativn) <br /> �r.��r��wrr�����r����r���rr+l�ww� r�rr���rrr��r�������.fw��r�Yw � <br /> THE APPLICANT I5: (circle one) OWNER OR TRACTO�t <br /> JOB SITE ADDItESS: ��L�!�J �!� ��_�i__�� � ZIP: <br /> Will this be a Parade of Homes,l,tem�ode�ers 5bowcase Home or other Disp�ay kiome? <br /> ❑ Yes � No If yes, a specaal event permit is re,�uired with Podice Department and City <br /> � Council approva160 days prior to the event, Non permit�ed�vents will nbt <br /> be allowed. <br /> NAM� OF OWNER � PHONE: (laome)���- 1� f O <br /> (work) <br /> MA�ILING A,DDRE55: �Ge-/� CITY: ZIP: <br /> �LA ROOFINCa 8►REMODELING, INC <br /> 4�00 EXCELSIOR BLVD. , / <br /> CONTRAC"TOR: 3T.L PHONE: �1, ' <br /> CONTACT PERSON: �U�oo0�05o MOBILE/PAGER: <br /> �L�NG A�DD�tESS: C�`�'Y: ZIP: <br /> STATE LICENS�: # <br /> ARCfIITEC'I'/ENGINEE�t: PHONE: <br /> MAILING ADD�LES5: CZTX: ZIP: <br /> NAME: �GISTRATION#� <br /> TYPE OF WORIi: New Aacessory Structt�re <br /> Addition N�ove <br /> Re�odeUAlterarion Land Altex�tion__. <br /> PROPOS�+D WO�(deseribe in de�ai�: ��Ql li�����6�'%�� �T l �%J�� <br /> S'TORIE5: �Q.FE�T OF E.ACH FLOOkt: <br /> NO. OF BEDROOMS: GARA,GE 5T.�L�,S: ATT. DET'. <br /> ESTIMATED CONSTRUCTION V.A�U,A,x'�ON(e�c�udiz�g�aud): $ � O, � <br /> I hereby apply for a building permit and Z aclmowledge that the a�nfonnation abovc is complete and accurate;that the <br /> work w�ll be in c�nformance with thc vrdinaaces and codcs of the City and �ith t�e 5tate �uilding Code; that I <br /> understand this is not a permit and work is not to start without a pernzit;and that thc work will be in accotdance with <br /> the appxoved plan, <br /> APPLICA,�IT''5 SIGN,A,'�'�URE• DATE: ��7 ' <br /> Titi'd L9z'ON S3�dS �NI�00�1 d�3S Wdb Z:Z S00Z'�Z'1�0 <br />