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• A • .. .'!: <br /> � Total Fee: $_ _;�j C��� c' � <br /> Date Received: =Z�- 0 <br /> Entered By: ''r�� Pemiit�l: - �U�; <br /> ��1�j, Y) t� ' � / �1 , '; l� <br /> . CITY OF ORON�- BUII,DING �ERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> , (please,print all infqrmation) , . <br /> TF� APPLICANT IS: (circle'one) OWNER OR C TR.AC"TOR ^ �� <br /> �--- <br /> ___ <br /> JOB SITE ADDRESS: _ ��tSU .T�.�>�, //�?/l /7,,,f ZIP: �5�_s� <br /> ' NAME OF OWNER: �i,„� .�-���,� ���-�- ' PHONE: (home %>>�- <br /> )__ � y�s- Izz�s <br /> (work) G � z -�� r--- s2�� <br /> MAILINGADDRESS: ���f�-r-�,�,<, ivr,/ll�l CITY: _ CJ��,,.�, ZIP: �� <br /> CONTRACTOR: J p�., �. � „�,�,r�.0 � PHONE: �sZ-9yy 5y�y <br /> CONTACT PERSON: .9,,,d,, --c�I�„��.,�J MOBILE/PAGER: �;z- �� -Z z. z <br /> MAILING A.DDRESS: . . CI'TY: ��,�..v�,--�.� ZIP: s�3.f�- <br /> STATE LICENSE: #� <br /> ARCHITECT/ENGINEER: �C � PHONE: <br /> MA.ILING ADDRESS: CITY: ZIP: <br /> NAME: � REGISTRATIOIV�{ <br /> TYPE OF WORK: New Addition_� Accessory Structure <br /> . Move RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detailj. �. ,�p�„� '��r� .,q�i,.��;,� <br /> STORIE.S: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DLT. <br /> ESTIMATED CONSTRUCTION VALUATION (excludin lan : $� Q <br /> � � ��� i <br /> I hereby apply for a building permit and'I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> [he State Building Code; that I��rstand this is not a pernut and w� is not to start without a <br /> pernut; and chat the work will be ' ccord ce wi the approv plan. <br /> A.PPLICANT'S SIGNATURE: DAT'E: � �� (`S`� ' <br /> NOTE! ,F'arade 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 /> 9 <br />