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� <br /> Total Fee $ l,��_ �' , Date Receiv : 9- -('� <br /> Entered � y: -qU1. , p,� ( � ^^� �C I y� Permit#: (�� �k`? <br /> ���� �-N�� <br /> CITY OF ORONN: �• B' ,'II..DING PERMIT APPLICATION <br /> A 1 information must bc ,��bn��tted in full before plan review will be started. <br /> �lea�� print all information) <br /> THE AP 'LICANT IS: (ci� t,� o�i �) WN OR CONTRACTO <br /> � <br /> .---- <br /> JOB STI E ADDRESS: � . �.�1'^�j---��- •'. ` / ZIP: s S3'S C� <br /> . . '��..�.1�� I « . <br /> NAME � �F OWNER: ��uhn, ;��c:���c� ��c;;n�� L�-C_PHONE: (home) <br /> (work)G��l -� �j�- l�-1 1 <br /> 141AILI1� G ADDRE.SS:� � �. i'�:,,� �� r CITY: �r a n O � ZIP:�.�3F.�� <br /> CONTR �CTOR: � � � � ���n a� ��rrY►�S t1._C? PH0�1E: �50�?-�73�-�� / <br /> . _�., <br /> C0�1TA �T PERSON:`�r�n: �j. , ,-�-�MOBILE/PAGER: (�/� -3 io to - ��{�� <br /> MAILIT �G ADDRESS• �'p . �'llc: c u� CI'TY:�;r o�c� ZIP:� <br /> STATE LICENSE: �# !3G -�r; =�� ;�5 <br /> ARCHI ['ECT/ENGINEER:�, �L.� ./�rc h,-�'�c'f� PHO�iE: �ra -339 -a�o <br /> MAILII fG A.DDRI:SS:33i �f. ��.";v�../Vc *`�oo CITY:Ll1n/s . .M�u" ZIP: q,5�O i <br /> NAME: T�4��,, �r�. ��r' �. s�s; ..I�'�ar��s REGISTRATION#� ��� lc D 3 � <br /> TYPE � IF WORK: New �(. _ Addition Accessory Structure <br /> Move Re;:M�del/Aiteration Land Alteration <br /> PROP( SED WORK(describE z det:��1�:_��, r,-, 6 �e r' 1�u�n� o n�t� <br /> STORI �S: I G� .FE a'T OF EACH FLOOR:L7tC��r� j9 D l — LO tL'�-r I�9(o <br /> NO. O:'' BEDROOMS: r �, :-, �'�ARAGE STALLS: ATT: � DET. . <br /> � w�, k.y <br /> ESTLY. ATED CONSTRUCT( ►:v�'t1,UATION(excluding land): � �yS ..L�"� _ <br /> I hereb; apply for a building pe: r it a�►i I acknowledge that the information above is complete and <br /> accurat ; that the work will be i ;on I°�rmance with the ordinances and codes of the City and with <br /> the Sta� : Buildina Code; that l i�.de:•;:and this is not a permit and work is not to start without a <br /> permit: and that the work will e in :cordance with the approved plan. <br /> APPL' CANT'S SIGNATUR I ;��'�'�,%z��� DATE: ��-,?/'G� <br /> C;���,�;,- ,�1<r-�--�/� . <br /> NOTE ' Parade of Ho�nes ei� :,s r��►uire separate permit approval by Police Deparlment and <br /> City C uncil 60 days prior to i r ei�{nt. Non permitted events will not be allowed. <br /> ����n <br />