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� <br /> _�`J 7 � `�� <br /> Total Fee: $ Date Receive�l: I� ��-�' ��,� <br /> Entered By: � Permit#: ��� i'U?> � <br /> �i'1'�'x- —_�'"-� /G'� <br /> CITY OF ORON� - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all infortnation) <br /> ------------ <br /> THE APPLICA:�T IS: (circle oite) O`VNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �(��Z�,�.� � �,�-� ZIP: �"�"��� <br /> `Vill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is reqz�ired with Police Department and City <br /> Coa�ncil approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> ��� � <br /> NANIE OF O`Vti'ER: 1�m� ��- �1,��� PHONE: ( ome)���3' oR(��' <br /> (work) ��—�'�3— �� <br /> NIAILING ADDRESS: �� ,Q[�G$/�/(�i�JJb( �o,,� CITY: �, P s� ZIP: _��t� <br /> CONTRACTOR: �W/��R PHONE: <br /> CONTACT PERSON: w�n,�t.,� (��-�-L.,2_�,-� �IOBILE/PAGER: �iSz- z�a- 7s�$ <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/EtiGINEER: _�.���� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA�`IE: REGISTRATION # <br /> TYPE OF�VORK: New Accessory Structure <br /> Addidon Nlove <br /> RemodeUAlteration�_ Land Alteration <br /> PROPOSED `�'ORK(describe in detai�: C'��OR�"-f- IZt�t'L,��r= - RA�se (�-��� vcr�-, <br /> L� v wG �v,►-. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 1�10. OF BEDR00�1S: GARAGE STALLS: ATT. DET. <br /> ESTII�TATED CONSTRUCTION VALUATION (eYcluding land): $�_� -7� ��o`� <br /> I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate;that the <br /> work will be in conformance �tzth the 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 w-ithout a pernut; and that the work w�ill be in accordance with <br /> the approved plan. <br /> APPLICAIVT'S SIGNATURE: ����� �n DATE: � �—�� d Q,3 <br />