Laserfiche WebLink
� dun-01-2001 09:13�m From-CITY 0� ORONC +9522494516 T-152 P.002/003 F-236����� <br /> �'otal Fee: $ �`�� 7�� Date Received: � �-Uf <br /> Entered By: G�� Permit#: G'0 3��'� <br /> CYT'Y OT O�tO�IO - B�DTNG �ERIV�T APPLICATI4N <br /> All inPor�nation must be submitted in fuU before pian review will be started. <br /> � (please print all information) <br /> T�iE APPI..YCANT IS: (circle one) OWNER OR CONTRACT0�2 <br /> JOB SYTE ADDRESS: r�:���� i�Nu� �_���� Z�: �����i <br /> NAME OF OWNER: , t\�1`C���1���� �� lt� �1 � PHONE: (home) ��G��-' �`�7- ��Z-`�7 <br /> (Nock) <br /> 1�IAII.L�1G ADDRESS: `` �(,��\ CI'I�c'• ZIP: <br /> CONTR4CTOR: ' �� �� 1��1-�� -�� , �-f''1 1 ` 'V'��� PHO�: � (G;<'�'����� ���� <br /> CO�'TA,C'tPERSON: � V\�' � MO�T�E/PA.GER: �(�;•1- . <br /> 11�IAILINGrADDRFSS• � � L �� CITY:.�I��-� (.1��1 ZIP• �7 <br /> STATE LIC�NSE: #��,'�C;(�;�'�(, ( <br /> A�2CHI°TECTlENGTNEER: PH�ti'E: <br /> MAT�.I�i iG AbDRESS: CITY: ZIP:� <br /> ��y�; REGTS'I'RATION# � <br /> T'YP� OF WORK: New Addicion Accessory S�ucture <br /> Move RemodeUAlteration�� Y-and Alteratxon <br /> n , <br /> P�tOPOSED WORK(describe in detain: � �C'�` <br /> STO�IES: SQ.FEET OF EA.C�FLOOR: <br /> NO. OF BEDROQMS: GARAGE STALLS: ATT: � DET. . • ._ . . <br /> �ST�i IPi'TED CONSTRUC'T�ON'V'ALYJATION (exclud.ing land): $ �;��� �C C <br /> I hereby apply for a building pern�it and I aclmowledge ihat the information above is comp2ete and <br /> accurate; tziat the work will be in conformance with the ordinances and codes of the Ciry and with <br /> che State Building Code; that I understand this is not a permit and work is noi to start without a <br /> permit; and that the work will be ' accorda with the pproved plan. <br /> � _ � <br /> A2'PLTCANT'S SYGNA ` AAT�: � � <br /> � / � <br /> NOrE! �ir e f Horr� events e uire s e pe ' appravaI by police Department and <br /> City Counci160 drrys prror io the ent. Non permitte events wi�l not be allowed. <br />