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� ~ <br /> CITY OF ORO:IO - BUILDING FER:`�i1T APPLICATION <br /> Total Fee: $ �i�� � � Date Received: <br /> Date P.ppro�ed: <br /> �ntered By: ��/ Permit',`- �`�`i 3 <br /> �T•T. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIL�1 WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------- <br /> �E APPZICANT IS: (circl.e one) OL�]i�IER o CONTRACTOR <br /> � ^ r � J � � 'C' � ZIP: <br /> ZOB SITE ADDRRSS: 1 /�' � � ���'1�(/ '� /.0 % �' �J` � <br /> (work) <br /> :I� OF OWNER- 1,�' ( � � l� i� 1 lJ���'JT PHONE: (hcme)� /�,'° lOF/ <br /> . � <br /> MAII,ING ADDRESS:� ,t�� S�c.,��r ( , ��� ' �(/ t CITY: !�'���1��/t� ZIP: <br /> CONTRACTOR- � C� � i iC` C= �[ c' �'��� �f��C� �r �'� , PHONE: 7��` �� •.� �\� • <br /> .'L�II,ING ADDRESS: �j� c�'�( � j � C`� � CITY:r��J(���)�� � C� � l.i�ZIP: �c� � � ��• <br /> STATE I,ICENSE: �� �1 � <br /> ARCHITECT�ENGINEER: C___ �/� ��`� C��'� � PHONE: <br /> 'KAIZING ADDRESS: CITY: ZIP: <br /> ��E: REGISTF2�TION T <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Re.*nodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � � x / ����' � l �/J�/��� �' ������� �� �l _i <br /> � ��� �� �.I ��i �i � i�� � /� ��c�w S� � <br /> STORIESs SQ. FEST OF EACH FLO�Rs <br /> NO. OF BEDROOMS: GARAGE STAIZS: ATT. DET. <br /> � c� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ �� �v <br /> I hereby appl.y for a building permit and I ac?cnowledge that the information <br /> above is complete and accurate; that the work will, be in conforznance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � <br /> �' c _L� l �G 1��� n � C�r-1 !�� � �� <br /> _� _ � � �. �1 <br /> A.PPZ�ICANT'S SIGNATIIRE: " � � c 7�' � DATE_ <br /> .-. <br /> � 8 �7 q�----- <br /> � . _ <br />