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. . CITY OF ORONOf — BT?IZ.DING PERrLIT APPLICATION <br /> Total Fee: $ ��3• �=� Date Received: :� -�3 � �i �� <br /> � Date Approved: <br /> Entered By: � '� <br /> Permit�: �/�o � <br /> ALI� INFORMATION MIIST BB SIIBMITT� IN FIILL BEFORE PLAN REVIEW WIIS, B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------ <br /> THE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> � ' _-- ��:^��,�� ZIP: .� J �� �I <br /> JOB SITE ADDRSSS: 3;�L �-- ���'Z�'-� <br /> (work) <br /> c / f <br /> N�ML OF OWNER: � L-C..� c� PHONE: (nome) `7 �/ � C>>'% U <br /> MAII�ING ADDR.ESS: �� y � ���% .t�11-�� CITY: (��T�.�� ZIP: .�S� r l <br /> C / <br /> CONTRACTOR: �i..�� � ' '�i.���t�-ti-;�,�:.� Z c� PHON$: y �v2 ' ,�- � I <br /> MATZING ADDR.ESS: %�9 % Gf�t�N,ct.� �'S _ CITY: �'��:��C ZIP: .J�.J��L �� <br /> STATS LICENSE: # <br /> ARCHITECT/ENGINEII2: �L`�`� PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> Np,�: RBGISTRI�TIOA � <br /> TYPE OF WORR: New Additian Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : ��c� � l��c.r��x�.�.�J //..�i.�.) ��� <br /> ���,,4 � L�fLt� ..l�XX-/�Z-tl��t .✓f�I.�4L1 ��-�t.'�G2G'�L�� <br /> 4 � <br /> �� � <br /> 1 l <br /> STORIES:�_ SQ. FE$T OF EACH FLOOR: I � � � "�'" <br /> NO. OF B$DROOMS: GARAGS ST1�fLLS: ATT. DET. <br /> . /:�� 1 <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding 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 accordance with the approned plan. . <br /> � � <br /> APPLICANT'S SIGNATDRE: �/ �Ua� . �iL;,�Ycr2.i-,'yrr,.�� DATE: :�� �/ ��� <br /> . <br />