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Y � <br /> Total Fee: S f /� � ���� DateReceived: <br /> � � DateApproved: <br /> Entered B��: ( Permit�: � i �' <br /> � <br /> CITY OF OROvO - BU�II..DL�G PERl�IIT APPLICATION <br /> �LL Pi 1FOR�1�iTION I�IL''ST BE SUB�IITTED IN FULL BEFORE PL�r REVIE`V`VII.L <br /> BE ST:�RTED <br /> ----------- ----------------------------------------_y=� <br /> ---- ---------------------------------------------- <br /> THE :�PPLIC:��iT IS: (circle one) �_�, O�VNER,�OR CONTRACTOR <br /> .JOB si-rE �DD�ss: a '�1�� ► , ����r.� .� w��;� z�: 5s3�� ► <br /> ���IE OF O«'�,�R: �xi�H� 11�'�t��� PHONE: (home) � �I� �S 1��.� <br /> (work) ��� ' 3:�y � <br /> �I�ILL�G:�DDRESS: �y(QC� �� � [ �J CITY: (;�Y , �� ZIP: `-. ^� . <br /> CONTR�.CTOR: PHONE: <br /> �IpBILE PHOv�/PAGER: <br /> �IALL�tG ADDRESS: CITY: Z�: <br /> STr�TE LICE�tSE: # <br /> :�RC��ITECT/ENGINEER: PHO�tE: <br /> `I�ILI`G�DDRESS: CITY: Z�� <br /> ��`,�: REGISTRATION # <br /> TYPE OF WORK: New Addition �ccessory Structure <br /> Move Remodel/Alteration Land Alt�rarion <br /> PROPOSED WORK(describe indetail): i�t c;.� ; �, �L } �" �' k- c�� l�����-�`�� — <br /> c��, �:_;� � ��� ;-� _��t�.� << �-� <br /> 1 <br /> STORIES: SQ. FEET OF E�CH FLOOR: <br /> �10. OF BEDROO�IS: G�RAGE ST�,I.LS: ATT. DET. <br /> EST <br /> LtiL�TED CONSTRLTCTIO�V:�LUATION(escluding land): � ��fi--P�-t�� ���•�� <br /> I hereby appl�� for a bu:ldin� permi� and I acknowledae that the information above is complece <br /> and accura�e; that the work will be in conformance with the ordinances and codes ot �he Citv <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> �vi�hout a permit; and that the work will be in accordance with the approved plan. <br /> :�PPLIC��T'S SIG��TURE: I �t.v,�. 1y I � DATE: S� t� I�1'� <br /> �VOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days przor to the event. Non-permiited events will not be allowed. <br />