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CITY OF ORON� � �LDING PER�IIT APPLICATION <br /> Total Fee• $ �� �` � C Date Received: <br /> �:/�� Date Approved: <br /> Entered By: . � <br /> germzt n: : � <br /> ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFOR.E PI,AN R.EVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------ --- ------------- <br /> ------------ <br /> ------------------ - <br /> TgE APPLICANT IS: (circle one) OS�TNER or CO TN Rr'�CTOR , <br /> JOB SITE ADDRSSS: �, ��,> �i ���D�u== ZIP: <br /> (work) <br /> NAME OF OWNER: V � Ic� U T���t� �1.-�'�.��..�' ��a�`'�oeJ PHONE: (home) �'-l3 . 39�+--1 <br /> MATLING ADDRESS: (03� � �E�+�-��t�c..��. _ CITY: �Jtz.�t..:ic.� ZIP: <br /> CONTRACTOR:�.� .� 1-�u� 2s��S�''� PHONE: 1�- - (0�4�� <br /> MAILING ADDRESS: 3411 �P.-T�S � !J. CITY: ��Q,/�t A�-- ZIP: �j>�-Z.'Z <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��_ REGISTR�TION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :�2�c�c:s� ��vt�- /�-� J`�� ��0'`�� � <br /> s <br /> �a r � ! ��['7�c� 7f�� �fi��'=-� <br /> .� 7 • �Li <br /> STORIES: SQ. FEET OF EACH FZOOR= <br /> NO. OF BEDROOMS: GARAGE STALI�S: ATT. DET. <br /> AU <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ �[aC�G� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above i s comp 1 ete and accurate; that the work wi 1 1 be in conf ormance 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 work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � <br /> APPI,ICANT'S SIGNATDRE:. �� _ DATE: � - Zlv'4� <br />