Laserfiche WebLink
� <br /> � ,'" CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ jQ..� y�� Date Received: /Q��,��,,Z„ <br /> % ` �� Date Approved: <br /> Entered By: ' ,,�:-�"" ' ' _� <br /> ' Permit�: �� ��% n <br /> �L INFORMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PI�AN REVIEW WILL B$ STARZ'ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) ���t or CONTRACTOR <br /> JOB SITE ADDRBSS: Z l�7 7 ��C���-'.�`��l Qt� ZIP: ���R� � <br /> (work) <br /> N�ME OF OWNER: I`�r�e%Z1� 5�}`C�- (�r��t� PHONE: (home) ��l i - 7���(F,, <br /> MAILING ADDRESS: Z l77 ,SFt�t�` 1/vC��t� Rl� CITY: VJ��2��� ZIP: �,S�J ;3 � � <br /> CONTRACTOR: G�:� = PH��= <br /> MATI�ING ADDR.BSS: CITY: ZIP: <br /> STA�S LICENSE: � Z Z� � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDR$SS: CITY: ZIP: <br /> NAI�: RSGISTRATION � <br /> TYPE OF WORR: New � Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : il c��C-Ik�� f���C�� ���G(G <br /> . STORIES: SQ. FEBT OF EACH FLOOR: �� � - <br /> NO. OF B$DROOMS: GARAGB STALI�S: ATT. DET. <br /> ' �� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ��a�� � <br /> _T hereby apply for a buil.ding 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 wil 1 be in accordance with the approved plan. � <br /> � <br /> APPI�ICANT'S SIGNAZ'QRE: � �- DATE: lC�- � "`j Z <br />