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, CITY OF ORO'•i0 - BUII,DI:IG FER.tiLIT APPLIC.ATION <br /> Total. Fee: $ _ �( �"Z Date Received: <br /> Date Appro�ed: <br /> Entered By: ,C/✓ <br /> . Pe�iit'�' '��7 �� <br /> AT•7• INFORMATION MIIST BE SUBMITTED IN FIILL BEFORE P?1AN REVIEW WII.L BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------ <br /> THE APPLICANT IS: (circle one) OPTNER o ONTRA '" R <br /> ' " � 1� ' C� v z1P: �S�3�i <br /> JOB SITE ADDRSSS s �a�-6 � Iva'"ri► Shc^� ��'�ti E'_ °� �1�-' <br /> (work) <br /> NAML OF OWNER: � n�,s'a...�"�ciY�r�.� l"✓l;�rf�� _ _ PHONE: (home) <br /> MATI,ING ADDRESS: �-��J �i�-�'�� S�v�� �,'���%� CITY: �,�%��7-Ti ZIP: ���'il <br /> i �, PHONE: �'1`�LI�S 3�,3 <br /> CONTRI�CTOR: y�r qc� G�� '1 S - <br /> .ti3AILING ADDRESS: 11'�' `7 �x• �S �`7 _ C=�: �54;��f ZIP: ���OL/d <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PH��" <br /> MAILING ADDRESS: CITY: ZZP: <br /> NAMF: R.EGISTRATION T <br /> TYPE OF WORR: L7ew Addi.tion Accessory Structure rlove <br /> Demo Remodel/Alteration Renovate Land Alteration�� <br /> P�OPOSED WORR (describe in detail) : ��,�-,�,v� ���f �,Z 't�fc��'+'� '�i1�� �'��� �r�'r`'�e <br /> d <br /> STORIES: SQ. FEET OF EACH FLOOR- <br /> NO. OF BEDROOMSs GARAGE STALI�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Ia.nd) : $ <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 conforinance with the <br /> �rdinances and codes of the City and with the S�ate Buiiding Code; that I <br /> •�nderstand this is not a permit and work is not to start without a permit; and <br /> :hat the work will be in accordance with the approved pl.an. � <br /> �.P PL I CANT'S S I GNATURE- �� 3 I,l�c--, `--> DATE: �"'I`� �>�- - <br />