Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
� . - CITY OF ORONO - BUZLDING PF.R�LIT APPLICATION <br /> � � <br /> Total r ee: $��� / � Date Received: <br /> , <br /> Date Approved: <br /> En.�ered By: � �� ���� <br /> PermitR: <br /> ALL INFORMATION MIIST Bg SIIBMITTSD IN FIIL.L BEFORE PLAN REVIEW WILI, Bg STARTED <br /> (See Check-off List Enclosed} <br /> --------------------------------- ------------------------------------ <br /> THE APPLICANT IS: (circle one} OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: ��;':z (`• S�� � � - ZIP: S�S��Y/ <br /> (work) �3 �` `�cl�j� <br /> N� OF OWNER- �A a • z ��vr1e5 �1 l rz i N- PHONE: (home) 'y�7 I �(i'� Z t <br /> MATLING ADDRESS: ZU_S S(-.e�ts-t�� ' f t�. � CITY: (�ro r� i� ZIP: '�-�35' I <br /> CONTRACTOR- ��1�►�z �� ti �� � t.t I PHONB: �Y�I -C�'�f Z-I <br /> I�iAII�ING ADDR.ESS: S i'} �'�'�-� CITI': ZIP: <br /> STAZB I�ICENSE: � rV�l� <br /> ARCHITECT/ENGINEIIZ: PHaNE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�r: RSGISTRATION tt <br /> TYPE OF WORK: New Y Addition Accessory Structure !� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �i�r�� Q��-y' ���►��1 _ _ .��� � ''"""� <br /> L��"�� :,� �`iN : �c1 % Cs. 1-- ��-r� �✓ y �' <br /> STORIES: SQ. FEBT OF EACH FLOOI2: <br /> NO. �F BSDROOMS: GARAGS STAI�LS: ATT. DET. <br /> - «� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ I��%G � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is cornplete and accurate; that the work wil. l 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 accord n, with the approv_ed plan. � <br /> � ___ �" , <br /> APPI,ICANT'S SIGNATIIRE: (,� DATE: � x"F '��l <br /> r` , <br /> ! ( � <br /> � <br />