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1 + � �- <br /> CITY OF OROPO - BOILDING PERIKIT APPI.ICATIOP <br /> Total Fee: $ /. �� � Date Received: �-�a - 9/ <br /> n <br /> �" Date Approved: <br /> Entered By s ,�fi/� �. <br /> Permit#: :`� �o� ? <br /> ALL INFORMATION 1KDST B$ SIIBMITTED IP FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ��2� /� cs�J� ���� ZIP: ����o� <br /> (work) <br /> Nl� OF OWNER: ����G �Z ��G���� PHONE: (home) <br /> MAILING ADDRESS: ��7�� OU ��O(� CITY: (�I���� ZIP: �J� � <br /> ��(!`'� <br /> CONTRACTOR: � � G�� PHONE: �� `��7 <br /> 1 ��� ,�..�� T�� � <br /> MAILING ADDRESS: �'�!.!� CITY: ����L��/� ZIP: � ` <br /> TYPL OF WORR: New Addition Accessory Structure Move <br /> Demo� Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �,�^ ���� ��'/� N�,�1 G����',��5 <br /> / <br /> �/Vj�a��� 61�U ����G� 1����� `���% � 2/t� ��F�� ��/1 <br /> / ���l��rvG r%Ul �f��.✓5 � <br /> STORIES: �- SQ. FEET OF EACH FLOOR:�p 4O� <br /> NO. OF BEDROO1rIS:� GARAG$ STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALIIATION (exclnding laad): $ ,�j�D �� <br /> I hereby apply for a building permit anc7 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 /> i��`i` c �G� '�� <br /> APPLICANT'S SIGNATORE: DATE: <br /> lPlease fill out th everse side of this form) <br />