Laserfiche WebLink
� . <br /> ^ Total Fee: $ �� �5 Date Received: J�✓a — 9�0 <br /> - Entered By: ,Q� Permit#: �f 9.5� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must he submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �� C� `S i���.�-,cr� i�'�u�. �,�'a,�ZIP: ��5�5�,� <br /> NAME OF OWNER: ���, 1��, �.e, h�c�i_ PHONE: (home) �173�d 5�8� <br /> (work) L%9'�/- �G�� <br /> MAILING ADDRESS: �c�r�� CITY: ZIP: <br /> CONTRACTOR: Q � �,e h���� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New ✓ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: 1��� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �',���n_ l,z, <br /> I hereby apply for a building pernut 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 /> APPLICANT'S SIGNATURE: G�",�'�OLe4��'��`'� DATE: S-/-�'7 <br /> NOTE! Parade o,�Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />