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Total Fee: $ Date Received: <br /> Entered By: - Permit#: r',2'1(/ <br /> CITY OF ORON - BUILDING PERMIT APPLICATION <br /> All information must be ubmitted in full before plan review will be started. <br /> lease print all information) <br /> THE APPLICANT IS: (circle one) OWNER O' ONTRACTOR <br /> �� 0/ (2,-(� 5-5-75-‘ <br /> JOB SITE ADDRESS: ' ���L / � � <br /> NAME OF OWNER: (1,01in 1-6 kh9`-r J4 PHONE: (home) <br /> .v c (work) ZQkc ADDRESS:, Y944) .d , I //I CITY: L 0-7�ZQ kc ZIP: 5-7` <br /> CONTRACTOR: �j�'CA ii -� L-7 ' - f PHONE: 6 ����-d� <br /> CONTACT PERSON: A e 4 !1W OBILE/PAGER: <br /> MAILING ADDRESS: /0 44 CITY: w V ✓ / ZIP:_c____4.- <br /> STATE LICENSE: # a o*c 3 i 3.; " <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> I <br /> TYPE OF WORK: New _ Addition Accessory Structure <br /> Molve Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ,,,7 `e J 4 .)--, --,, /.P, /rt. 071 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 6 e7do <br /> I hereby apply for a building permit d I acknowledge that the information above is complete and <br /> accurate; that the work will be in co ormance with the ordinances and codes of the City and with <br /> the State Building Code; that I and rstand this is not a permit and work is not to start without a <br /> permit; and that the work will be il accordance with the approved I lan. <br /> APPLICANT'S SIGNATURE: - rV '%% %• TE: gt./. .-6 <br /> I <br /> NOTE! Parade of Homes events 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 />