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.a. <br /> CITY OF ORON& - L"GILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permits: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 3-�� I Z}��� ZIP: <br /> �/ <br /> /� C <br /> (work) <br /> NAME OF OWNER:�K LE. ��- t 1 PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: LU v t)F—(ZsO l j - L 1 t'�1.U 0( - PHONE: q 23 - <br /> MAILING ADDRESS&21 E s;- G WZATA, CITY: Al2_ ZIP: S <br /> STATE LICENSE: _(D <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION <br /> TYPE OF WORK: New Addition Accessory Etructure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : PVT I N �QgoE RF-Arl <br /> aEC'tEtd i >TR c.JRLL � �1� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 not to start without a permit; and <br /> that the work will be in accords ce with the approved plan. <br /> c,. <br /> APPLICANT'S SIGNATURE. �� DATE: <br />