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8 v ILYI JVJ 14 V7/U7/yf� �14: It5 � :U(/�� NO;27H <br /> . r <br /> � fotal F�e: $ �0 ��/� Date Received: � <br /> Entered By: __� � � Permit#: �'�5J(d <br /> CITY OF ORONf3 - BUILD�G PERMIT APPLICATIDN <br /> A!l informatian must be submitted in full before plan review will be started. <br /> (please print all in�farmalion) <br /> THE APPLICAN'�' TS: (circle orte) �OWNER OR CONTR..aCT4�t <br /> 30B SITE �DRESS: g�'4- J, ,� ,<,_� r � t , 7.IP: S���a <br /> , <br /> NA�ti�E OF (OW3'�ER: � C��'t-i y,.,r,�-,.' ,' ,;:�a>�...,g-���"�,.,�y- FHONE: (home) ���-73�'�a <br /> � (work) �{�`j�� ���� <br /> MAFI.LNG ADl7RESS• ����'c��,� CITY: ZFP: <br /> CONTI2AGTOIr: s`�'�� ' PHONE: <br /> CONTACT P�RS4N: MQBFLE/PAGF.R: - <br /> 1k�A1LING ADD1tESS: CITY: ZIP: <br /> STATE LIGENSE: #_ <br /> , ,, <br /> A�tCHITECTJENGIlV�;ER: �"i�� FH�NE: - <br /> yiAiLYNG �DDg,ESS: CITY: ZIF: <br /> Np�t�; REGYSTR.ATTON# <br /> TYPE OF WORK: New Addition Accessory 5tructure <br /> �1ove Rcmodel/A�teration �__ Land Ait�ratian <br /> f <br /> PROPOSED WORK(describe in detai�: � �� � � , ',f `�.�'- � ; a�_. 'r �� ��'r`�`' �-_ <br /> � �a � -,1 5 ' 8 <br /> ;�iF�':��� `��.a��..wz ��=� / ,u _. — <br /> STORIES: SQ. FEET QF EACH FLOOR: _ <br /> 1Y4. (?F BEDRQC?MS: GA�.R.AGE STALLS: ATT. DET, <br /> ESTIMATED CO�STRtiCTIQN VAJ..UATI�N (exciuding land): $ �7S � <br /> I hereby apply far a building pernnit and I acknowledge tt�t the information above is complcte and <br /> accurate; that the work will be in conformance with the ordinanees and c:odes of the City and with <br /> tlie Stat� Auilding Gqde; that I understand this is nat a p�rmit anci work is not to s[art without a <br /> pern�it; and that the work will be in accordan�ce ith the approved plan, <br /> / �, � <br /> �F'LICANT'S SIGNAT[TRE: ��Y` cw�c� . DATE: `�- // �` � <br /> NOTE! �rnd��f�iv�nes Pyents require se�arate permit approval by Police Department and <br /> City Councii 60 da,ys prior to th� event. Nnn permitted evenis will not be allowed. <br /> 6 <br /> ------------------------------ - - -- -----------------------------—-— --- ------ - <br />