Laserfiche WebLink
� �� Total Fee: $ � �� � `/� � '�' �'� <br /> Date Received: �p- <br /> Entered By: ,� ����J _ � Pernut#: v � � � <br /> !%/1,. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: ( 3 � � Pj(��-� P� �,� ZIP: ,����p� <br /> G <br /> NAME OF OWNER: ���V �,t'1 IS(,(.� �(��1�P�PHONE: (home) �� -�J�� <br /> (work) �i J� - � -�1�o� <br /> MAILING ADDRESS: � .� � �J �f�.�� �`�- ]�ITY: �j� )(�� ZIP: �-,_�J�(�� <br /> CONTRACTOR ���l r-�'Y 1 I S�O�Yl PHONE: '�I fo�� �v J� -o���(� <br /> CONTACT PERSON: �j� � (�-��ryVIOBILE/PAGER: <br /> MAILING ADDRESS: rj9 I 5 �zQP,e'�IY.X?�'P�CITY:�I�pla i p ZIP: ��3 J -�'-r <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: '�� ���`��C7 YrLPHONE: "��,��.- �--� '�j� -���� <br /> MAILING ADDRESS: ��j,�'� � p,�t�l CITY: �,_ � - ZIP: s �� � <br /> NAN�: �� P�-� ���-��.�v�_ REGISTRAT ON# <br /> TYPE OF WORK: New Addition�_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: l (p i X v�� � One ��C�r- �C�.�'�'� t (U <br /> rc�n-1. -- ��:���f��I c.rc� �t >J ��� ��.r�c-�� r nP�. -�-� <br /> STORIES: ( SQ. FEET OF EACH FLOOR: ��� <br /> NO. OF BEDROOMS: ��� GARAGE STALLS: ATT. - --- DET. — <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ •��G � �� � , �� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> - �� , - <br /> APPLICANT'S SIGNATURE: <���C�����I��DATE: �� � ��- <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Cily Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />