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CITY OF OROPO -��ING PERI�IIT APPLICATIOl� <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MDST BB SQBMITTSD Il�i FIILL BSFORE PLAN RRVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> TH$ APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: � �� 6 �v ` ��, G� ZIP: �� �� <br /> (work) G 73- �"��7 0 <br /> NAME OF OWNER: �c vv� ��n.�'� PHONE: (h ome) ��( '�/ �6 <br /> I�IAILING ADDRESS: �S�''"`'� CITY: �1NJ CW'¢''(Z•� ZIP: S�?� � <br /> CONTRACTOR: !V`� PHONE: <br /> MAILING ADDRESS: � � C.�-d.,.� CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : \�w�•:� C�.R�,(1ern11�� ��C'f-k��N� �'" <br /> ��1��-� i���,. C�uto�1�1[L' '�. _ <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMAT$D CONSTRDCTION VALDATION (excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is comp lete and accurate; that the work wi 11 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 will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATDRE: �� �� DATE: L� �� <br /> (Pleas ill out the reverse side of this form) <br />