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CITY OF ORO� - B�NG T APPLICATION <br /> t � ...�... <br /> _� -, •, <br /> - ,,� ., <�: : <br /> • ' � �� i - �n �' Date Received: � � <br /> Total Fee: $ ��� <br /> Date Approved: <br /> Entered By: �'�Z �AN 2 3 1995 Permit tt: G;��/_`�� . <br /> AT•7. INgpRMATION MDST BE SIIBMITTED IN FIILI� BEFORE PLAN RES7IEW WIL� B$ STAR�n <br /> (See Check-off List Enclosed) <br /> ������������������;���������� <br /> ����������������������� <br /> TgE APPLICANT IS: (circl.e one) WNER�or CONTRACTOR <br /> / <br /> JOB SITE ADDRBSS: J _ ,�_ ZIP: `�•� � �� <br /> (work) ' �� <br /> � � � <br />�P� �� 0��: � PHONE: (home) �� <br /> MAILING ADDRESS: <br /> CITY: '% 'L ZIP: <7S��.T-- <br /> CONTRACTOR: .1�-' E'`�� PH�� <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDR.ESS: <br /> CITY: ZIP: <br /> N�_ REGISTRATION � <br /> TYPE OF WORR: New <br /> Addition� Accessory Structure_� Move <br /> Demo Remodel/Alteration Renovate Land Al.teration <br /> PROPOSED WORR (describe in detail) : � <br /> ,> ? � � � <br /> 0,�1 y .l�-�����?e-�{' . <br /> , , <br /> ., <br /> �� <br /> STORIES:�_ S4- FEET OF EACH FLOORs <br /> NO. OF BEDROOMS: a GARAGE STAI.LS: ATT. ;� DET. <br /> ..--, <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $_��J s G'"1��% <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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code, <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 wnith the approved plan. <br /> S . �-� <br /> �r 1 �� <br /> � <br /> � F�r�.l. ; y �,�-,rr 5'.._._.," DATE: I �/ f� <br /> APPLICANT S SIGNATURE: <br />