Laserfiche WebLink
CiTY OF ORQNO � b122494616 OS/31/99 10:23 � :01/03 N0:429 <br /> . ..___.__ <br /> Totsi Pce: $ ��,�I . Date Received� /U <br /> Entcred By: �j Persttit#: <br /> CITY UF OR�NO - B�t�U�1TG P��MIT APPLIGATION <br /> Alt informat�c�n nnrust he submitted in f`ull before plan review will be started. <br /> (please prtnt at! �r{formarion) <br /> TH£ AP�'LICAIV't' IS: (circle one) OWNER Q C� TRACTOR <br /> .rnH s�T� a�a��ss: �.c2.�..�sc� � .��. z�� �`� g/ <br /> • <br /> Or oi�� �� <br /> NAM.� C)F (�WNER: ,��1� �� � t, PHONE: (homc)__�-„-,��,�/� <br /> (work.) <br /> MAILYNG AUDRES5: ���D'�sco 0� ��, ,CITY:_„�/'0/�D /,v✓ZIP: 55� / <br /> CQNTRACT(�R: _,�,,c��`��r)�J _�;s� P�iO1VE: �`-�;����� - <br /> CQNTACT P'ERSON:�j'. D//�` /A MQ�.E/PAGER: <br /> MAIx.ING ADDRESS:����A�1��.LL�o . C�"1''Y: .t3r� .0 �a� ZIP: � � <br /> STA►.TF� LICENSE: � �0�`��. <br /> A�LC�YI�CTlENGII�IEER: PKONE: �' <br /> 1�IAILII�IG ADDRESS: CITY: Z�": _ <br /> NANTP�r � REGISTRA'i'IUN# <br /> , <br /> T'YPE OF WORK: New Additian Accessory StruGture <br /> Mavc Remodei/Alteratian ,�_ Land Alteratian <br /> ,- , <br /> PRQ�D Wb (des�ribe in detai�:� ��dd.Z.���(��te-��Y�- �-�- ��a <br /> __,_� � I 1 O,t� t1►a p� ,, ��OfL., <br /> 5TQ►RIES: .,,,, SQ.�T 4F EACT�FLt70R: <br /> 1�0. 4�' B�A�t.Ut.�MS: GA�tACiE STALIS: ATT. � DET.� - -- <br /> ESTIMATED CONSTR,UC'I'ION VALUATION (excluding l�nt3): $ �3,�1�i ���> „_,_, <br /> �tuceby�pply for a building pe�rnit and I aclmawtadge that the information atyove is com�slcte anci <br /> accurat�; that th� work wi11 be in cvnfo:�manee with the ardinanccs and cc�des of th� City and wich <br /> the State Buitding Cade; tb,at I uncierstand thls is nat a permit and wc�rk is not to stttrt without a <br /> permit; and that th� wnrk will be in accardance with the approved plan. <br /> APPLICANT'S S�GNA'Y'��� - �il � �•!�DATEs 9 9 . <br /> , , , <br /> N'OT.�1 I'�'Hnn� eve►rts require separate p�rmlt approval by Poltce l7�epantmen#and <br /> CYty �ounet160 days pr�tor to the eve�t. Non permitrced events w�ll not he allowed. <br /> 5 <br />