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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF OROI O - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O ON RA TOR <br /> JOB SITE ADDRESS: 33 S, O 1 a C .11x) by Ai ZIP: <br /> NAME OF OWNER: /(k hil � .J,e P PHONE: (home) L/77 cd9,.5p., <br /> (work) <br /> MAILING ADDRESS: °'77"-e_._ CITY: ZIP: <br /> CONTRACTOR: C PHONE: Sg,/-7Y 77 <br /> CONTACT PERSON: 6k)) --S c%.)02.0 MOBILE/PAGER: 'I <br /> MAILING ADDRESS: J-7 ,AA A LI/ CITY: J) are--Lal ZIP: -3-1733l <br /> STATE LICENSE: # ?cS 7a?7, <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: j REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): �' A�s.._e_ <br /> STORIES: Sq.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accor• - •ce with the a-pro el .lan. <br /> APPLICANT'S SIGNATURE: A A 4,4Ad DATE: 1)--‘3 <br /> NOTE! Parade of Homes evens require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />