Laserfiche WebLink
�_,�ti. ��+ u�:�� i nc ��i i � �_�r UI:'Uf�a� r 1�-4 r'��—'f'j:�f t ll,l_, <br /> !` , <br /> ;' 1 • p CITY OF ORQ?7� --- BCI7LD7NG PER.�iTT A�pI,zC�TYtjN �I � I�� <br /> , T � t"F,c':Ftt,�t�"� �t��C�c�� <br /> Total Fee: $ 3�3����i" ����� ����j� ' Date R�ceiv�ed: <br /> . ��Tr�� ����' Dat� Agnrovec? : ` <br /> Enter�d I3v: <br /> ' �'ermiti�: <br /> ' • r <br /> AZS, I2TFOR23I1TX(�N MUS� BIi SIIBMZZ.'�F.D ZN IrL7Z.I� BI�''OFiE PI�FiN R.EV7�i4 W.LLT., AT� 57`7�RxI;D <br /> (See C'�eck-of� L�st Enclosed) • <br /> �SE 1�k'��•zG�N: �5z..^ f rzrr1eYone] ---O��TN�R or CaNT;ZACTO ` Y`---------+....^^_-----� <br /> J'UB SITL ADDRBSS: c� � � J''�l '' " �,(�IC-%L�� � I 'L�Ps � � � ll <br /> > , , <br /> � (work) <br /> r I <br /> PIF�ME OF OWN�Ft: ��L�-l� � � FIiU2TE� (home) ��l ��,�h a� <br /> MATLTNG �DDR�SS �,'� ��� �/d r�' %�c'�'C�� � CI'.L�Y: ���j���'��� ZIP= �� � I� <br /> � �� � <br /> coN�c�z�oz�: }��2��Ge�P.�FT -- �.�arrE: ��/- ��a � -- <br /> MATT•rxc a.nDx�ss � 3//�f s�-�c�rtiG 4 iL �� c�:�: ,���S_ zzP: s 5���C <br /> sT�z� �rc�r�sE: � DGb a/7� <br /> IiRCII2�CT/I?NVI2�- ____. I'IIONE: _ <br /> M�TIaz21G ADDR�SS : C�Z'X: ZIP= ._ <br /> �.TAM�: l2.EGTS'i��.'xON �_,___ � <br /> TYFE OF WORR: New Addition Accessor-f Stzvcture Move <br /> p�to� Ftemodei/Alteration T� Renovate�_ Land Alteration <br /> PRO�'QSF.D WOFtfi {describ� in deta��.) - <br /> STORY�S: .SQ. F�ET aF Y-gC� E�40R: <br /> NO. 0� BEDItUQMS: G.��StAG� STAI.Z.S: ATT. DET. <br /> . a��ESTZHATm CDNSTRIICTYON V'ALi7Ax'ZON (ezclnci.�ng 7.and) : S <br /> I hezeby apply Eor a build.�ng p�rm.i.t �nd r acknvwledge that th� infoz�na�i on <br /> above 3.s coutp�.ete and aceura�e; th�� th� wdrk wiZl be .a.n con�ox�ance with �h� <br /> o�dinances and cod�� of the C.��y and wi�h the State F3uilding CQde; that Z <br /> uAders�and this �.s no� a permi� and wozk �.s nat to start wzthout a p��u�-t; anc3 <br /> th$t the work will. be �.n accordance with the aporoved plasi_ • <br /> y � r <br /> �P.T+1.CI�T1��.rs ..�'1Z�TUR�� �/ v�Z .�i� <br />