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' ' TotaI Fee: $ Date Received: � <br /> � Ent�rcd By: � .�-�� . Perrnit#; � �,�= <br /> �' t%Lv� <br /> �C� CI OF ORONU � B�C.J��D�G� P�R.NIIT APPLI ATIQN <br /> �� � � �� <br /> All inYormatian mast be submitted in t�ll befoare plan review will be started. <br /> (pdease print all tnformatian) <br /> --------------------------------------��_-------------------__.---------______-------- - ---------------�-------------- <br /> THE AFPLICAN'T IS: (cirel� one) OWN�R O C�NTi2ACT0�2 r <br /> J4$ SiTE ADDR.�SS: �� C T-� ,� „� ,C,.�•C`_, _._._ ?TP: ��� / <br /> � <br /> NAM� C1F OWN�',R: J� '� � 1,��� FHONE: (hame)�� <br /> _ , <br /> (work) <br /> MAILING ADDRES5• � ' L�'�. '��LITY: "� �' ��;,�ZiP: --- <br /> C4�N'I'RACT4�.t: �1�� � �'�t° pHONF: � �,�, �� <br /> � � �� <br /> � � U ' _�NIO�ILE/PAGER: <br /> COiV''I AC T FERSON:�; � ''(`� - <br /> 1VIAT�.ING AT)UR�:SS:�l -�(�-l���t' `.:� CYTY: j� ; �' �ZIP': ��-�--�� <br /> STATE LICENS�: #, �� <br /> ARC�TECT/ENCINEER: p�ONF� _ <br /> �CITY: ��P: . <br /> MALI.L�i� ADU�SS: ___ _._ .�_._...... -- <br /> NAME: �, - ItE�ISTRATI(}N�� _. --- <br /> TyPE OF WORK: New Addition ____ Accessory Structure <br /> Move Rem�deUAlteratian I.and AlterRtinn <br /> PR4PCIS�D WOR.K (describe in detar�: �� ' Y �' )`,�j�Gt,�,. r'C� � <br /> � ���' C��_�� ��_►�� � �L i �i��;�F��—� -�.--. ------ <br /> �TOR�'.S: �Q. FEET 4F EACI�i+'L4a�t: -- <br /> Nf�. O�' $EDRUOMS: GA�AGE STAI�LS: ATT. DET, <br /> ESTIMATEI� CQNSTRU(:TYpN VALUATION {excl�yding land}; $ ����� �� <br /> I hcreby apply for a building permi[and I acknowl�dge ttaat the information above �s camplete and <br /> accurate; that th� wark will be in confarmance with the ordinances a.n� cades of the City and with <br /> the State Ruilding Code; that I under ttus is not a permit and work is nat to start with�ut a <br /> permit; �nd that t��e work will b n ac�c3r an e vvith thc appmved plan. <br /> , <br /> APPLICANT'S SIGNATURE:�� �ATE: �f� �`.� 7 -- <br /> NOTEl Farade , Hames events r�equire separute permit approval by Police DepaMment and <br /> Ctty Cour�c�I 64 days priar to the event, Non permttted events wtll riot be allvwed. <br />