Laserfiche WebLink
CITY OF ORONO - BIIILDING �ERMIT APPLICATION <br /> , � <br /> Total Fee: $ � � � ��� Date Received: <br /> � Date Approved: <br /> Entered sy: ��% y3�� <br /> Permit#: <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-of f Li st Encl.osed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O�+1NER or CONTRACTOR <br /> � '(�`����'"�� ��l,`� ; d(�;�c'� Z I P: <br /> JOB SITE ADDRESS.� <br /> r (work) �5 -����� <br /> N� OF OWNER: ��� �a �i�rLl� PHONE: (home)�"�`75 5 <br /> ��__ <br /> MAII�ING ADDRESS: � /1.,� � �i . I�.����Tt���l J CITY: (,'�1���,�,(1'� ZIP: (+ � � <br /> CONTRACTOR: S�t.r� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> AI �� ) �� .�-, <br /> PROPOSED WORK (describe in detail) : /� ��-O �--�c�� <br /> STORIES: � SQ. FEBT OF EACH FLOOR: ��✓� � C���C!K�y � <br /> NO. OF BEDROOMS:� GARAGE STAI.LS: ATT. � DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �.�1 �y <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> „ �-� <br /> APPLICANT'S SIGNATDRE: C-� ��L�IJUL---� '-�����%�__ DATE: .� ' �` �'� <br /> / <br /> � <br />