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� o� <br /> �� <br /> ,�'" <br /> Total Fee: $ �y 7 S� Date Received: //—/q -'�C� <br /> EnteredBy: ! Permit#• �?�g•6o.�9`j <br /> CITY OF ORONU -BUILDING PERMIT APPLICATION <br /> All information must be submitted in futl before ptan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: S�o �7 S �/�� �G �(l C� ZIP: S;��� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display�Iome? <br /> ❑YC3 �No If yes,a special eveni permit is required wlth Police Department and City Cotmcil approval <br /> 60 days prtor to the event. Shuttle bus service wfl!be required unless appllcant demorrstrates <br /> su,�rcient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: � 2 � C' l�i� PHONE: (home) - 7/-�7� -� <br /> �W�� ����gyy <br /> MAILING ADDRESS: ��o '7 ' !/ CITY:�'Un-� _ZII': 3 � <br /> CONTRACTOR: PHUNE' <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII,ING ADDRESS: CITY: ZIP• <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CTfY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Sid.ing, Windows) G� <br /> Any earth movement may require MCwD review and permits: <br /> PROPOSED WORK(descr�be ' detai�:,��QC>u1� �X'%S'1��___o /��'/a <br /> l�P�� ��d ,;l ✓ll�v �/.,��,�DPc,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMAT'ED CONSTRUCTiON VALUATION(egcluding land}: S ;3�d� � <br /> I hereby apply for a building permit and I acknowledge that the information above is compiete and accurate; <br /> that the work will be in conformance with tt�e ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: __���'/� DATE: / �'/ / "-�OO�j <br /> 31 <br />