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CITY OF OROi+70 - BUILDING PERMIT APPLICATION <br /> Total Fee: $�� �..�/ � �,� Date Received: <br /> Date Approved: <br /> Entered By: � <br /> Permit tt: 7 �- �S <br /> � <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI� BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O�_VNER or CONTRACTOR <br /> JOB SITE ADDRESS: / ( � �_ �_ �i ,{ "� �� ZIP: <br /> (work) <br /> NAI� OF OWNER: ��'� A- rt t- � , '�� (° /' f- h �' C 1�'L PHONE: (home) _, '/ 3 } .�' d l <br /> MAILING ADDRESS: �• .� �, , �� � �_ l ,� E� I�/.` CITY: � 'i�, �';,�("�- } ZIP: 5.> � S C <br /> CONTR�CTOR: � i-. fR� C= 1'ti� PHONE: <br /> MAILING ADDRESS: �;i/`/ �' CITY: _ �;/-�,�. ZIP: /�J/L� <br /> STATE LICENSE: '� <br /> � f�14'4 �-� �' <br /> ARCHI TECT�ENGINEER: � � �y j� . ,• a �i��� �- � PHONE: ,'� -- �_ , � <br /> � _ <br /> MAILING ADDRBSS: ' 3 / , r,_ il,� ,(; CITY: �,;��, /'��Tf,_ / f�f�, ZIP: ^ i��' S <br /> NAME: �: . s r. REGISTRATION # <br /> TYPE OF WORR: New `�( Addition Accessory Structure biove <br /> Demo Remoc��ie�1/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :� ; ._. /,�:� � -� 'Li� � , � / fi / /`1;��/, � j? <br /> i <br /> � /� ! /•! ' i <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �,� (� / � � <br /> i <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 will be in accordance with the approved plan. � <br /> APPLICANT'S SIGNAZ'QRE: r4. .- f � % . - � �`� t.� � DATE: '� ,r .. <br /> 4. � <br />