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CITJY OF ORO'NO - BUILDING PERI�41T APPLICATION <br /> ^otal Fee: $ o' Date Received:Date Approved: <br /> Approved: <br /> _ntered Bv: Permit': <br /> %LL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------- <br /> ------- ------------------------------------------ <br /> "HE APPLICANT IS: (circle one) OPTNE or CONTRACTOR <br /> JOB SITE ADDRESS: ,��D L'✓ L�/f��/l/ T /3 v ZIP: <br /> (work) <br /> NAME OF OWNER: � z�7 .��� PHONE: (home) <br /> !4AILING ADDRESS: �D 6i� ,,2�f S CITY: i C �/y ZIP: <br /> IONTRACTOR: PHONE: <br /> '!AILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: ' <br /> jo ick <br /> 'iRCHITECT/ENGINEER: e n C r N s t PHONE: <br /> -(AILING ADDRESS: CITY: ZIP: <br /> ;'AME: S 6zad REGISTRATION ' / 7 3 P'-!r <br /> ,YPE OF WORK: New Addition Accessory Structure Move <br /> Demo Re-model/Alteration--e Renovate._ Land Alteration <br /> 'ROPOSED WORK (describe in detail) : c,/ <br /> a <br /> TORIES:_ S4. FEET OF EACH FLOOR: <br /> ;O_ OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> :STIMATED CONSTRUCTION VALUATION (excluding land) : $ Aw O O e <br /> hereby apply for a building permit and I ackncwledge that the information <br /> bove is complete and accurate; that the work will be in conformance with the <br /> ,rdinances and codes of the City and with the State Building Code; that I <br /> .nderstand this is not a permit and work is not to start without a permit; and <br /> _hat the work will be in accordance with the approved plan. <br /> DATE: <br /> ,pPLICANT'S SIGNATURE: <br />