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� �"b LDING PERMIT APPI.ICATION <br /> CITY OF ORONv UI <br /> Total Fee: $ �C � � Date Received: <br /> Date Approved: <br /> Entered By: � .� � -��y�� <br /> Permit n: � <br /> AI�L INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII� BE STARTED <br /> (See Chec}c-off List Enclosed) <br /> --------------------------------------------- <br /> THE APPLICANT IS: (circle one) OLdNER or CONTRACTOR <br /> i > , � <br /> JOB SITE ADDRRSS: �'� > �`%--�� � ; I ; � � ' �%l' �.;" ) r j` ZIP: � S ':>r! I <br /> (work) <br /> _ /-.��_ r_'- <br /> NAME OF OWNER: �� �� �� t � �� �� ll �y� �, /� � l.t_ PHONE: (home) , , i /j(" <br /> , <br /> MATI,ING ADDRESS: J CITY: ZIP: <br /> � � '-. <br /> CONTRACTOR: � ' PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE I.ICENSE: � <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: R.EGISTRATION tt <br /> TYPE OF WOR.R: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> _� <br /> � �._ � � ; �� j _ i <br /> � �-� �� / � � �� ��� i P�l l; . ��� - <br /> PROPOSED W�RR (describe in detail) : ,l � !� I � � <br /> � ! _ E. < < � / �) <br /> � �_ + <br /> STORIES:�_ S4- FEET OF EACH FLOOR: I •-'� � r <br /> NO. OF BEDROOMS: � GARAGE STALI�S: ATT. . -i DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) s $ .�C � � <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 wvrk is not to start without a permit; and <br /> that the work wiI 1 be in accordance with the approved plan. � <br /> i <br /> xi�' �.� ��t ��,� � � DATE: ' ,l' "`'_ <j ��` <br /> APPLICANT'S SIGNATUF2Lr: c. !t� - f � <br /> -, , ' , <br />