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• , CITY OF ORO�O - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �5//n (�� • Date Received: <br /> ,.---. j Date Approved: <br /> Entered By:�,�'�� permit#:�'�'j <br /> ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------- --------------------------------------- <br /> THE APPLICANT ZS: (circle one) O�dNER r CONTRACTOR <br /> JOB SITE ADDRSSS: 11Gj SM 1'� vF.NI�E ZIP: S S3� � <br /> (work) 9 ZU��(d�� <br /> NAI� OF OWNER:�,t��p�C� 1-'l�T'ZTaJ�t-QG Peor�: (home) 4r�S-q V�13 <br /> MAILING ADDRESS: I1S SM 1'11-1 ��G CITY: wAy'ZA'r� ZIP: rjS � 1 I <br /> CONTRACTOR: ��� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATl3 LICENSE: # <br /> � . /ENGINEER:��GHhQ� � F%�X-RdR��`�� PHONE: S�'OS 1 1 <br /> J MAILING ADDRESS: IO1�J0 �OT'� P1J� �• CITY:��--���V�— ZIP: 5�4� <br /> NAME: �1 C�I� �l..�GQOP'�1D REGI STRATI ON # � �� I S <br /> TYPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��D�ncx� O'F C�-a�QQ�6 B �A�`W ��� <br /> �. u C�� <br /> �c!STl NG c�'U ��'�Q�• <br /> STORIES: � SQ. FEBT OF EACH FLOOR: `� I,13C.��_C�,l,�et��j� 2� �$�� <br /> NO. OF BSDROOMS: 2 GARAGE STALLS: ATT. X DET. <br /> BSTIMATED CONSTRUCTION VALIIATION (egcluding land) : $��� �U� <br /> I hereby apply for a building permit and Z 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 /> understand this is not a permit a work is not to start without a permit; and <br /> ,�'" <br /> that the work will be in ccordanc wi h the approved plan. � <br /> ; / <br /> APPLICANT'S SIGNATORE: ' .. DATE: I�L Z� .3 <br />