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�/-��`�� <br /> � " " CITY OF OROPIO - BOILDING PERMIT APPLICATION , _ <br /> Total Fee: $ �.� -�� ��� Date Received: � ��� —/ � <br /> Date Approved: <br /> Entered By: <br /> Permit#: '.� _3/ �'� <br /> ALL INFORMATION MIJST BE SIIBMITTED IN FiJLL BEFORE PLAN REVIgW WI7�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER r CONTRACTOR <br /> JOB SITE ADDRESS: 537 MRNI.on� flv��(,IJ�uZ��l?1�J z�P: 55"341 <br /> (work) ��J3-3�-r`f'_3 <br /> NAME OF OWNER: �Q Li,U'T' f1�E H�C� PHONE: (home) �1�j'3J�,3 <br /> MAILING ADDRESS:��� /�N�QN �,� CITY: ZIP: 5�' '�J� <br /> CONTRACTOR: S L� PHONE: <br /> MAILING ADDRESS : CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo �e:nod��/Alteration Renovate Land Alteration <br /> �,G`� <br /> �` <br /> PROPOSED WORR (describe in detail) : CC. � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATION (ezcluding land) : $ "7 � � �'`. <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance 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 wil 1 be in accordance with the approved plan. <br /> � � <br /> 1�PPLICANT'S SIGNATORE: �rr-C9:�.:'� �C L��,�, � DATE: �, - C � '� C� <br /> r Z�.;��� , . <br /> � �• ]n.°i�. �S: ,� ; . <br /> �� z � � �' . <br /> ��� ��::�,:. <br />