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Total Fee: $ Date Received: q-q-0 3 <br /> Entered By: �� /j� Permit#: l o 110 <br /> CITY OF ORO"0 - PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 3�D /U/'h fYl DAg ��>?/a l4 ZIP: <br /> NAME OF OWNER: „� /�P!^Z PHONE: (home)12 <br /> (work) Sod 3 Q3 <br /> MAILING ADDRESS: Wit? CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHTI'ECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA.NIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): IC;i6n, egniod el i �� n°►✓�Ab� s(�'Cm©✓� m��� <br /> i n.0-q!I inewhL /� -Fs window. jsf ftd. Remov,o exisljh q w d b p �-WL010n E12 4"f <br /> I;�in9 roomi znsfq ne6v ovea cook top coaus4 hoa t <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 00 <br /> ESTnIATED CONSTRUCTION VALUATION (excluding land): $ o? ,t200 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in c rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade of Homes events require eparate pe it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />