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� Total Fee: S ,���,,'� -� ��� DateReceived: <br /> f Date:�aproved: <br /> Entered Bv: %�l <br /> Pe:mit„`: l'=> �'':� <br /> CITY OF ORO�O - BU7ZDING PERIVIIT APPLICATION <br /> �I.L I�"F'ORtiI�TIO�T�ILST BE SL��iTTTED �i FL"LL BEFORE PL�v REVIEtiV`�"II.L <br /> BE ST:�RTED ___ <br /> ----------------- _�__------ -=----.--�---'��--------------------- <br /> THE �,PPLIC:��1'I' IS: (circ:e one) O�V�ER CONTR�CTOR � <br /> JOB SITE �DDRESS: /?-� �= ��'�y «��Sc /,7/Z z�: 5 S 3% � <br /> N�'�TE OF O�VYER: �� r�� Q�c w�N �-� �� � pxo`�: (home) y�� -y� �'� <br /> (w�or�> <br /> I�IAILL�iG�DDRESS: � ) (, Gr�v/ G�/tS �lU'�ITY: �/�C)1v�� ZIP: S� `�'/� <br /> CONTR�CTOR: j��Ll� ����/(�� PHOiVE: ;'�'� ���0� � <br /> � ��IOBLLE PHO.NE/PAGER: <br /> �IAILING�DDRESS: �/00 �x C���o�'' /`1,/�ITY: S j C�v i S �KLIP: --5 S /� <br /> ST:�TE LICENSE: � <br /> :�.RCHI'I'ECT/ENG��ER: PHOi��E: <br /> �IAILL\G�iDDRESS: CITY: Z�: <br /> N�tiLE: REGISTR.-�TIO�t n <br /> TYPE OF WORK: New Addition Accessory Structure <br /> �1ove ��.��� �/A1 r ri�n Lan�Alteration <br /> � / � ��. �i <br /> PROPOSED�VORK(describe indetail): �a�t � -� r�;—, <br /> STORIES: SQ. F�EET OF EACH FLOOR: <br /> v0. OF BEDR001�LS: G�R�GE ST.�I.LS: ATT. DET. <br /> ESTLI�IATEDCONSTRtiCTIOtiV�LU�TION(eYcludingland): � /, /� �� <br /> I hereby apply for a building permit and I acknowledae that the information above is complece <br /> and accurate; that the work will be in conformance with the ordinances and codes of the C;cy� <br /> and with the State Buildin� Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> ,r . <br /> �PPLIC�ti�'T'S SIG�IAT'URE: - ..'��� DATE: � Z <br /> NOTE.' ParjHomes events �equire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non-permuted events will not be allowed. <br />