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^ I <br /> Tota1 Fee: $ �`��- �� �_ Da�te Received: <br /> Entered By: :�-' �_ Permit#: �_5's"/ <br /> ; <br /> CITY OF ORON(J - BUILDING PERNI�T APPLICATIUN <br /> i <br /> All �nformation must be��l submitted in full before pl�an review vvill be started. <br /> I(�ilease print all information) <br /> THE APPLICANT IS: (cir !e one) OWNER R COKTRACTOR <br /> JOB SITE ADDRESS: D �D�'f"��� ZIP: S,�S�n <br /> NAME OF OWNER: �DE S PHONE: (home) ��/-95�/Z <br /> D /� � (work) y -8yd 3 <br /> MAiLING ADDRFSS: /DloO ' � GY'Gw�1 f�d CITY; ZIP: �3�r� <br /> CONTRACTOR: 'PHONE: ��-�ya 3 <br /> CONTACT PERSON:_�� MOBILE/PAGER: 5 L7—/ Z 58 <br /> MAILING ADDRESS: CYTY: ZIP: <br /> STATE LICENSE: � SIo <br /> ARCHITECT/ENGTNEER: PHO1�E: <br /> M,eiILING ADDRESS: CITY: ZIP: <br /> NAME; REGI9TRATION� <br /> TYPE OF WORK: New _�� Addition Accessory Structure <br /> Move �temodel/Alteration Land Alteration <br /> i /1 <br /> PROPOSED WORK (describe in etai�: �'{�eyV Gf},2�4;�' S �v2�VEN�A� <br /> STORIES: SQ. ET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALIS: A7'T. DET. z <br /> ESTIMATED CONSTRUCTIOA VALUATION (excluding land): $ � p �_ <br /> I hereby apply for a building permi and I acknowtedge ihat the �nformation above is complete and <br /> accurate; that the work wili be in c� nformance with the ordinanc:es and codes of the City and with <br /> the State Bnilding Code; that I unc erstand this is not a permit �ind work is not to start without a <br /> permit; and that the work will be 'n accordance with ihe appraved plan. <br /> APPLICANT'S SIGNATURE: c�4 DATE: �(� /Z <br /> NOTE! Parade of Homes events l require separate permtt app�roval by Police Department and <br /> City Council 60 days prior to the � vent. Non permitted event;c will not be allowed. <br /> �'I 5 <br />