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� �_ <br /> � , % ��.,1�'� '� "'� <br /> Total Fee: $ i � / Date Received: �-Z��O� <br /> �nte:ed By: /� � Permit#: �Q��7� <br /> �� �.-,,��- - � / ��.1;� _ <br /> CITY OF ORONb - BUILDING\PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNF�.$�R CONTRACTOR <br /> JOB SITE ADDRESS: '�.7�.�U P 11 E � S A�►v i S�O_ �.X CE�S iG�.ZIP� `� y � 3 1 <br /> NAME OF OWNER: `i �L� S 1"�1�- C`'� � PHONE: (home) �$ �� �l I- v y�� <br /> (work) �, t'�. • `3 U i,- ��l i� <br /> MAII.ING ADDRESS: `�,�3 G P ��L..�, � �,� � S�i�CITY: �� �E�,s�o r. ZIP: �� .�; 3',3 I <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: `-{ ca�,E 51`� ��t`; MOBILE/PAGER: � l•� - 4'3 c� � .. �� I'� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition `� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �, D D �� �o r� [� � T� � c_ lrc <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � , p � p ``�` <br /> I hereby apply for a building pernut 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:. o DATE: (� - � � -o � <br /> NOTE! Parade of Homes events quire separate permit approval by Police Deparhnent and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />