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� ' ' ' r <br /> CITY GF ORO,NO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ .����=.}.SL��_ Date Received: <br /> 7 �' <br /> �' � ' � ' Date Approved: <br /> Entered By: C /� �j <br /> Permit#� �:��,r� -/ <br /> ALL INFORMATION MDST BE SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OPTNER or CONTRACTOR <br /> 307 c7 <br /> JOB SITE ADDRSSS: � �Jts u:.,�,� G ZIp: S�5 3S �, <br /> (work) S�(�-ys%�/ <br /> NAML OF OWNER: �Vt�q o��f rn ,°� �I (C PHONE: (h ome) ��(Z��� <br /> �r <br /> MAII�ING ADDRESS: 3UF�C� - C� t�.�L Co CITY: O�2c ^� c� ZIP: � J! 3.SZ <br /> CONTRACTOR: S!'�m � PHONE: <br /> MAILING ADDRESS: S /1M �' CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAML: REGISTRATION # <br /> TYPE OF WORR: New j( Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : !� � t��N�1� <br /> STORIES: c'_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALI�S: ATT. '�/ DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � J� Q U l- <br /> I hereby apply for a building permit and I acKnowledge that the inrormatic <br /> above is complete and accurate; that the work will be in conformance with tn <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a permit and work is not to start without a permit; an <br /> that the work will be in accordance with the approved plan. � <br /> APPLICANT'S S IGNATIIRE: r ���` DATE: �U l�! I �Z <br />