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. CITY OF ORONC� - BT]ILDING PERMIT APPLICATION <br /> Date Received: ������� <br /> Total Fee: $ 7d'� � �/ �- <br /> Date Approved• <br /> Entered By: ' r",�� <br /> Permit�: � j��' <br /> AI�L INFORMATION MIIST BE SIIBMITTBD IN FIILI� BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ; �C.� - `�'�'"��-l�� (1����1� �-C�✓ ZIP: <br /> (work) <br /> x� oF owri�x: �,�li..� ��''�'-1�,�,�� PsorrE: (home)4�1�-`t�=�� <br /> I�SAILING ADDRESS: �' , � `'���� � CITY: Cr%��-E�Ge�C_� ZIP: <br /> � f s�s�-�..�--s <br /> CONTRACTOR: �-����"��.,'� �l.'�'.=�� - ��1A�=i� psox$: �i ��-�,47`�`7 <br /> I�SAII.ING ADDR.ESS:I�i ,��/J� � � �CfG -�'�"��ITY: �lf�l' ZIP: GJ�`�-�`-� <br /> STATS LICENSE: � ��C�� 7� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATI�ING ADDR.$SS: CITY: ZIP: <br /> ?7�ME: RBGISTRATION � <br /> ':'YPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ��N`���t� 1�7�".�'-��� <br /> STORIES: SQ. FE$T OF EAGH FZOOR: <br /> NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �' �' '� � <br /> _ ,�._ ,_ :. <br /> T hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> inderstand this is not a permit and work is not to start without a permit; and <br /> _hat the work will be in accordance with the approved plan. <br /> ,�..--� <br /> �� <br /> �PPI�ICANT'S SIGNATDRE: � - ,���� �.���� DATE: � ' �' � j � <br /> r <br /> .:` <br />