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Total Fee: $ 1 �s Date Received: d 112 <br /> Entered By: t2 ,io Permit #: <br /> rr <br /> CITY OF ORON6 — BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: <br /> ZIP: <br /> NAME OF OWNER: I rt- P v e d PHONE: (home) �� - -� to <br /> (work) <br /> MAILING ADDRESS:`'I �� ��,,,,o� CITY: ZIP: cj <br /> .CONT TOR: PHONE:gSa - 7 3 ` �c,[ 17 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 1-.on/ ZIP: 3�`�', <br /> STATE LICENSE: #� (6-7 "cw r <br /> ARCHITECT/EN ER: PHONE: <br /> MAILING AD SS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WO ew Addition Accessory Structure <br /> Mo e model/Alteration Land Alteration <br /> l <br /> PROPOSEDW (describ detail):`�� � ��„� <br /> 2Wa'-" / 1444 <br /> STORIES: SQ.FEET OF EACH FLOOR: cv <br /> NO. OF BEDROOMS: _14 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a buiWiftg-pefmit 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 accordance with the approved plan. <br /> APPLICANT'S SIGNAT DATE: �� v <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />