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-� . � � �� �:/ ��`��% <br /> Total Fee: $ — � Date Received: �/v� <br /> Entered By: �/» _� Z � Permit#: '� � �-^-� � <br /> CITY OF ORONQ - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print«!!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ,� <br /> THE APPLICANT IS: (circle one) WNE��OR CONTRACTOIt <br /> �_; <br /> JOB SIT�ADDRESS: ���� � J ��L(�����Q ����f'� ZIP: <br /> Will this b a Parade of Homes, Remodclers Showcase Home or other llisplay Home? <br /> ❑ Yes ��1�10 If yes, a special event pern�iit is reguired with Police Department and City Coimcil approva/ <br /> �� 60 days prior to the event. Shuttle b:�s sei•vice wil!be reqttired unless app(icun[demonstrates <br /> sufftcient on-sile pa�•king is nvnilable. Non-pei•milted events ivill not be a!/owed. <br /> n ) <br /> NAME OF OWNER ��(�(�;�.� �_,- E�J��'���(�U�/ PHONE: (home) jZ- �1.�3a�. <br /> � (work)1E�1 Z ��{i� 0 ja-� <br /> MAILING ADDRESS: �I��I� LI�� ����, � CITY:��i���^, ZIP: �� '>� <br /> CONTRACTOR: �.� �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EYPIRATION DATE: <br /> ARCHITECT/ENGIN�ER: PHONE: <br /> N�A��IN�A.Q�R�SS: ('iT�': 7IP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �` <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(desc�•ibe i�z detai�: ��P l� E'L � �%c� �'��r, <br /> STORIES: SQ.FE�T OF�ACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHEll DETACH�ll <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���'� ��� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pe mit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved pl n. �� <br /> t <br /> APPLICANT'S SIGNATURE: DAT�: �-G1 �� D(,� <br /> 31 <br />