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. ♦ f t ...- �� <br /> � `'%� . , , � � C<�/� � <br /> Total Fee: $ � Date Received: <br /> � Entered By: /_f J Permit#: � / -� �� � �� _�> <br /> �.� <br /> ;�, _; ` . <br /> CITY OF ORONCS',B r �� DING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> ---------------------------------------------------------------------------------��_----t------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O�ONTRACTOR �'� <br /> �_� <br /> JOB SIT'E ADDRESS: � �G ff��G�/�✓,��i�. /�a�� . z�:_ S�3 �l <br /> �r�l'/L'� 'f GG /�f� %f'�— PHONE: (home)`�S� - ��� "- ��y�' <br /> NAME OF OWNER: �' <br /> . � � � (work) C t��` �/.�- %' '��'.�S��{- ,ii�L <br /> MAILING ADDRESS: ,���Cl �G�Gft�,lk��� �E'l�� CITY: G'�'�/� ZIP: SS,� / <br /> CO\"TRACTOR: /�`/ lL'/�ENi �f� ��S/lN' _PHONE:. � S�_�G°���-� �Z��' <br /> COr�'ACT PERSON: 9----re�� � � YIOBILE/PAGER: �5/ �.��� ��-3 �Z <br /> MA.II.,ING ADDRESS: ��� S/GL'�/� �/�}��� D.CITY:�eW c`�iP/��fiC/v�IP: �S�v� <br /> ST�iT'E LICENSE: # < -- ,`. �13/S'� 4C' <br /> i�e-�/��%��� <br /> ARCHITECT/ENGINEER: C�'���'' /`EN/�/ZGSr PH0�1E: G',�/��:�� " ��3�,Z <br /> MAILI�i tG ADDRESS:,;�c`�/ S/G�'�,P G�r� ��. ciTY:/ytr✓ b�k�/�ior�ZIP: <br /> �,T���; /��Tl-lft=/�S ,f�i' G S«�/� REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detain: �/ %CN�/L' �'c����L j�' ��'�'Gc�/J� j��ul" <br /> � St''�Fi iS �t�/ W D�i t�G�4C'� �'iSri•ulA-- 5�4 � cl/�EiU%��/ <br /> (�l C�UE"" �J�">�'�/� -- /�E l�/ C%f'E/ �ito`L (stc�'L�ti nI/c.E��i . IZ�-f-y��4�u� c��cx�j <br /> ` <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: �C�'�'C DET.G�/ S�' r/ ���IN <br /> 1`'O. OF BEDROOMS: � S GARAGE STALLS: ATT. �_ <br /> N�'� <br /> ESTL�1_ATED CONSTRUCTION VALUATION (excluding land): $ �� U��� �� ���� <br /> ��/�l� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and fl�W� <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with Gtl <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wilI be in ccordance with the a�proved plan. <br /> , �A,, <br /> APPLICANT'S SIGNATURE: . �:--. /Gf// � -DATE: .�` �� -�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />