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Total Fee $ ��4� - �S Date Received: j-2 3-�y <br /> ,Entere�d� y: _ ,:;.���__ Permit#: T � 7�1�?l <br /> �...�'v�`�� (C f�l�C>� <br /> CITY OF ORONN: �• B' .'II..DING PERNIIT A.PPLICATION <br /> A 1 information must b�� n�bn�M�tted in full before plan review will be started. <br /> �lea�� print all inforncation) <br /> TI� AP 'LICANT IS: (ci• I,� o�i ) OR CONTRACTO <br /> JOB SI7 E ADDRESS: l � J. _ Z�: ��3�Z,�n <br /> �Oc���,;�' �2 • <br /> NAME I IF OWNER: ,�_ uhn . :��C; ,c� �'C�i ne'� L!-C._PHONE: (home) <br /> (work)4���1 - 1_�- lQ�7 � <br /> 1�IAII�Il� G ADDRFSS:•��. i:�: � �� � u� CITY:�r o n O � ZIP:�"f��.�b <br /> CONTR �CTOR: " , � � _�`:�r_ }�c��rne� L1L_ PHO�TE: Cf 5�-`-��3--�-1 � <br /> CO�ITA �T PERSON:�{�r.�n: ��. ;��_MOBILE/PAGER: (�/ol -3i�io � <��{� <br /> MAILIP �G ADDKESS• �'o . ��s: , � � ��.: CTTY: �;'r o n c� ��� <br /> STATE LICENSE: �t /%SG -�; =�� ;�5 <br /> ARCHI ['ECT/ENGINEER:�, ��_� �rC h,-f�c`f S PHO�TE: t�,ra -339 -d�O <br /> MAILIjtGADDRFSS:33i �E. ��.�-uF.Nc ��oo CITY:111v/s . .M�;R ZIP: ��5�Oi <br /> Nr�i.ME: �,�c:<<�.� Vr. �'t �, s;�i; �'�t�r r�s REGISTRATION� ��� lo D� ' <br /> TYPE � 1F WORK: New �C. _ Addition Accessory Structure <br /> Move Re;:d�del/Alteration Land Alteration <br /> PROP( SED WORK(describE :det:���: � , n� {��E?ti'' �w'`�� ���'- - <br /> STO� �S: I �� .FE �T OF EACH FLOOR:11'1�i�r� 1�1 O l - LO�L'�-r I�9(o <br /> NO. O:'' BEDROOMS: 1 �it, :-, �'�ARAGE STALLS: ATT: � DET. . <br /> � w.. k , <br /> ESTIY ATED CONSTRUCT I I:v�'a 1,UATION (excluding land): S �`�S . G�z'"'� <br /> I hereb; apply for a building pE� r it a��i I aclmowledge that the information above is complete and <br /> accurat :; that the work will be i �;on 1°�rmance with the ordinances and codes of the City and with <br /> the Sta� : Building Code; that l r.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 /> �.�'��'��- DATE: �" �� ` / <br /> APPL' CANT'S SIGNATUR I ; ���" C <br /> �'�i,�c'/�f�'�<*-�-�-<�"'� - <br /> NOTE ' �Parade Q f Homes es� :,s r�r►uire separate permit approval by Police Department and <br /> City C unci160 days prior to :� e��a nt. Non permitted events will not be allowed. <br />