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CITY OF ORONL? ��.�I,DING PSRMIT APPLZCATZON <br /> Total Fee: $,�9(r,�'. �5 Date Received: <br /> � <br /> Date Approved: <br /> Entered By: �� <br /> Permit#: ��//� <br /> ALL INFORMATION MDST BE SIIBMITTED IN FQLL BEFORE PLAN REVI�W in1ILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------(---------------------- --------- -------------------------- <br /> THE APPLICANT IS: circle one) OWNER o CONTRACTOR <br /> JOB SITS ADDR$SS: E,�{ Sv�` ZIP: <br /> �/l' � t y�t�i ti�-c-r-�- N.� - <br /> � (work) <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ' � 1 rt. ` �-(.-� PHONE: 4���-�T ��� <br /> MAILING ADDRESS: ���� �9 -�,.1/ . CITY: �l •�- ` ZIP: �~��^ <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remo el/Alteration Renovate Land Alteration <br /> „� � r �f� /, <br /> PROPOSED WORR (describe in detail) : ' � C� �Xe � <br /> 1 / � � <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: I S� '�v�� � � �-� <br /> NO. OF BSDROOMS: `i' GARAGE STAI.LS: ATT._� DET. <br /> � � � <br /> ESTIMATED CONSTRUCTION VALIIATION (egcluding land) : $ � ���� <br /> ( <br /> I 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 /> understand this is not a permit and work is n t to start without a permit; and <br /> that the work will be in accordanc 'th the proved plan. <br /> � �" • <br /> � <br /> � DATE: <br /> APrLICANT'S SIGNATURE: -e'_��: _�, - <br />