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� �� _� , r � <br /> `>15 �., <br /> Total Fee: $ Date Received: " - ��-�Y <br /> Entered By: (� i� Permit #: �� _`�� �3 <br /> � ri, i `=,� ' � / �_ �' � ��L- <br /> CITY OF OROI`10 - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle onel�OWNER OR CONTRACTO—R� <br /> 1._ � <br /> JOB SITE ADDRESS: � S - ' ZIP: -SS 3�/ <br /> �� <br /> NAME OF OWNER: � " . �_ PHONE: (home) s1� � -- 1 j <br /> (work) �-�'� � <br /> MAILING ADDRESS: �`'� ' c�� CITY: � � . �2 � �� ZIP: .SS3 <br /> , <br /> CONTRACTOR: a D' � -� PHONE: -f��S'Z - f���-j�Z`j'' <br /> CONTACT PERSON: MOBILE/PAGER: �----� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �,(,� �� � � � ,/'Q � <br /> STORIES: I SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> C�' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .�C�� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> � , , <br /> APPLICANT'S SIGNATURE: , ,C- �� `.�' ' _ DATE: �� � �-�' �- <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />