Laserfiche WebLink
� CITY OF ORQNO - I3IIILD�NG I'L''RMIT APPLICATION <br /> Total Fee: $ �� Date Received: <br /> Aate Approved: <br /> Enterec3 By: p�zmit�:����'�'?� <br /> ALL ZNFOAM.ATION MUST B� �trBM2TT�n rN FIILTa ��ox� P?.Aw x�vi�r WTT�r, �� sT�ut� <br /> (See Check-off List Encxased} <br /> THE APPLTCANTYIS:�y(cirCl.e�one)` OSdNER Qr CONTRACTOR <br /> JOB S�TE ADA�tESS: � Z=P' `�`���� - <br /> (work) 9,����� <br /> NAME OF OWNER: �-��Ell/�� PHONE: (hom�) -5`�3 <br /> MAIZ�ING 1�DDRESS: /_�,����}s� CITY: /1/i�6��_ -- ZY�: S .� <br /> , <br /> CONTRACTOR: �J�1��Y���•��11��„ ��� PHONE: - <br /> MASY,ING ADDRESS: ,/�//� fYir-,� CI'1`Y: 2IP: �� _ <br /> ����� <br /> ST,ATE LTCENSE: #_���, -- <br /> HYTE /ENGINEF.It: PHONE: <br /> MAIL� ADDRESSr CITY: ZIP: <br /> N � REGYS'I'RATSON � <br /> . <br /> TXPE OF WO�: New Additian Aacessoxy Structiur.� Move � <br /> Qemti Remrac e/AlteXati.on P.endvate L�iiB A�terat3,G�n,,,_� <br /> PROPCISED WORR (describ� in det�il? : � , � °� <br /> STORIES: I SQ. FEBT OF EACH FLODR= <br /> I�ip. pF �BDROOMS: GARAGE STAT�•S: ATT.��^ DET. <br /> Ov <br /> SS7.'IMATED CONSTROCTION VALIIATZON (eaclading 13nd? _ $�,���� -' <br /> z hereby apply �or a building permit and Z ackaawledgc that the infoxmation <br /> above is cornplete and accurate; that the w�rk wiil be ist oQnformanCe Wi��ha�hl <br /> ordinan�es and codes of the City and with �he Stiate F�uildinc� �Qde= <br /> understand th3.s is not a permi� and work i� not to start w�thQut a permi�; and <br /> th�� the wo�k w���. be in accordance With the approved pla�. � <br /> t �-�/-- �� <br /> f APPLICANT'3 SY�AIAT[TRL s � �� ,,,� DAfiE: <br />� <br />� <br /> 1 � <br />� <br />