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, <br /> ,� <br /> � <br /> • Tota1 Fee: S ��'' 4 ', DateRecei��ed: <br /> DateADoroved: <br /> � Pe:mit~: '1�(�(a <br /> Entered Bv: �,;� <br /> CITY OF ORO�O - BLTII.DI�IG PERNIIT APPLIC�TION <br /> ALL I�i`FORti�L�TION�fL.�ST BE SLB�iTT�ED IN FULL BEFORE PL��1 REVIEtiv tiVII.L <br /> BE ST:�RTED <br /> ---___ -- -----�1.------------------------- <br /> THE �PPLIC:�:\�'I' IS: ~ lcircle one) O�VNER OR CONTR�C�R <br /> JOB SIT'E :�DDRESS: t� % " �'� Z�' �i SJ 1/ <br /> �tAil�1E OF O`Vr'ER: C1�V C� /�UG S�c PHONE: (home) ��TG'T�y <br /> (work) <br /> l�1AILL\'G�DDRESS: �/ � ,���E'/V�IfG� C�k'���ITY: C�,E'� �t c: ZIP: 5'S3 yf <br /> CONTR�CTOR: �c�9 �P����`� _PHONE: „��--3�C�� <br /> I�iOBILE PHONE/PAGER: <br /> 1�IAIL�G:�DDRESS: �/oc� �Xc��y��P ��v�� <br /> CITY: 5 T t-��,:S ��t' ZLP: S� 7 / � <br /> ST�TE LICENSE: ��f[)�[� <br /> �RCHITECT/Ei�G�tEER: PHO\�E: <br /> I�IAILL\G�DDRESS: CITY: ZIP: <br /> v�vlE: REGISTRI�TIO�t n <br /> TYPE OF `�ORK: New Addition Accessory Struc�re <br /> ��Iove Remode'J:�lteration L,��d Alteranon <br /> PROPOSED`VOR�i(describe indetail): ���r�z �--� �e�z.� �c��--� <br /> STORIES: SQ. FEET OF E�CH FLOOR: <br /> NO. OF BEDROOI�iS: G�R�GE ST:�LLS: .�TT. DET. <br /> ESTLI�TED CONSTRLTCTIOti V:�LL:�TION(esciudin�land): S .�, ��� - <br /> I hereby apply for a buildin� pe:mit and I ac?cnowledae that the intormation above is complete <br /> and accurate; that the work will be in conrormance with the ordinances and codes of the Citti' <br /> and with the State Buildina Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance �vith the approved plan. <br /> APPLIC�'�1T'S SIGNATURE: a., DATE: 'y�h ��' . <br /> �VOTE! Parade o Homes events require separate permit approval by Police Department and <br /> Citv Council 60 days priar to the event. Non-permitted events will not be allowed. <br /> ���'' <br />