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-1;4111101. 1 <br /> Total Fee: $ Date Received: <br /> Entered By: ,(yt. Permit#: /p a 4 v <br /> CITY OF ORO4O - BUILDING PERMIT APPLICATION <br /> All information musti be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: ,circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /5 G S D e o^-c 0 4 K S DZIP: S-S 3 S' 6 <br /> I <br /> NAME OF OWNER: :-S- f0 - t 6 e c PHONE: (home) ( ?3-.)c q a- <br /> (work) <br /> MAILING ADDRESS:/5-- ..-5- o il'o,L d ,7)4K5 CITY: Co ti a, to({.e ZIP: s s is--c <br /> w <br /> CONTRACTOR: ,Z`i/= PHONE: <br /> CONTACT PERSON: , MOBILE/PAGER: <br /> MAILING ADDRESS: 1 CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> i <br /> TYPE OF WORK: Nevt Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration K <br /> PROPOSED WORK(de.cribe in detail): F.7) Z <br /> 1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 1 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a builI ing permit and I acknowledge that the information above is complete and <br /> accurate; that the work ill 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 wok will be in accordance with the approved plan. <br /> APPLICANT'S SIGN iTURE: e-A-47-A, __ DATE: S'- '2-V <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 />