Laserfiche WebLink
J�1 23 O1 05: 02p p. 2 <br /> Jul-Z3-2001 03:53pm From-CtTY QF OROMO J J j,�� +85221846t6 T-46� P.002/003 F-054 <br /> � <br /> � Total Pec: $ �-�� �, �/ �� Da�e Received: � !'�' /� �' ' <br /> Entered By: -�'�.> Permit#: ��' c �/� �: <br /> '�'��`�������CIT'Y�OF ORONU - BUILDING PERNiYT APpLTCATION <br /> AlI information must be submitted in full 6efore plan review w71 be starte�. <br /> � (please print all inforntation) <br /> 'Y'� APPLIGANT IS: (circle ane) OWNER OR CONTRACTOR <br /> J�OE SITE ADDRES�: ��� C.Z1.SC� C 1'C' ZIP: 'J�Jr 3 Q � <br /> Nt�lYL� ��Q�1i�TiA: l.u,C.�l,l� C�r l � or I IIV�= ��m�� 1 V���� �+U�A 1 lf� <br /> (wackJ <br /> �,nvG A.nnx�ss: 3a �t'I Casc� ��Y crrY: Oron o �: 553q ( <br /> corrr�cToR: � R �C S- �'c er tC� rxorrE: 95a-8�8-S�1�10 <br /> CONTACT PERSON: C1e � C MOBII.E/PAGER: CO 1 a' oZo'�1—S'o�°I <br /> MAII.IlVCx ADDRESS: C'� L Ve,CTTY: �l�b'Cc1 �1�IP:s��y 20 <br /> 5TATE LICEN'SE: � ca? 1 L l � <br /> �iRCHITECT/'ENGINEER: PHONE: <br /> MAiLIl�1G ADDRFSS: CYTY: ZIP: <br /> NAME: REGISTRATI4N�' • <br /> TYPE OF WORK: New Addition Accessory SQucture <br /> Move Remodel/Altesation Land Alteration <br /> PROPOSED W�RK(describe in derai�: ��VYIQv� � I'`�T��e SG�a k�� <br /> STORIES: SQ.FEET OF EACg F'LOOR: �y 90 <br /> N4. 4F BEDROONiS: GARAGE STA,I.LS: ATT- DET. <br /> ESTIlI�IA,TED CONSTRUC�IOlY VALYJATYON(excluding land): $��?��� �a <br /> Y hereby apply for a building pernzit and Y aclawwledge that the iaforn�tian abovc is complete 2�d <br /> accurate; that tt�e work will be in conformance with the otdinances and cvdes of che City and with <br /> the Scate Building Code; chac I understand this is not a permic and work is noc to scarc without a <br /> pernut; and that the work will be in accurdance wish the approved plaa. . <br /> APPLYCANT'S SIGNA T�ATE: �����' <br /> NOTE! �ade Hom�events require separate perntit approval by Podice Department and <br /> City Cou�cil 60 days prior to the event. Non permitted events will nvt be allowed. <br />