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` CITY OF ORONd - B�JILDING PERMIT APPLICATION <br /> Total Fee: $ / 5 � � � Date Received: <br /> Date Approved: <br /> Entered By: ' ���--�- � <br /> Permit�: =��� ��� <br /> AI.I, INFORMATION MIIST BB SDBMITTSD IN FIILL BEFORE PLAN REVIEW WI7�L BB STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> CF <br /> JOB SITE ADDR$SS: �JJ� Ly��� /�4 p ZIP: -���'��� <br /> (work) �.�'y-yLy3 <br /> N� OF OWNER: �a�z�� `''�-` `��/ -�"C�2:�� PHONE: (home) G�7�—�''7 <br /> �^�E% <br /> MATI,ING ADDR.ESS: �5��/ ��ir�� /-�}�P CITY: �.�:�n � ZIP: � / <br /> CONTR.ACTOR: �i w"v�E;� PHONS: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: $ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRRSS: CITYs ZIP: <br /> NAMI;: RBGI STR�TION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : i��1 I S t' l t"":1 '��"�;r G� �--'l 7'� ��r%«'��� �'� ���-�1� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATT. DET. <br /> ��j � � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �V " <br /> I hereby appl.y 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 /> AP PL I CANT'S S I GNATDRE: �'�`�c��G��S.t?���'�..G�--� DATE: ����/��- <br /> d� � I� �o a q <br /> � <br /> / � <br />