Laserfiche WebLink
._� �� <br /> Total Fee: $ 7 � Date Received: �/o���3 <br /> Entered By: /�,� � � Permit #: r�� (,� Z � <br /> �.. <br /> T,7%"1/l�:<,Y�" / /L_� � <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��....: `J hc;�,�� i,;,c�o�- ZIP: `>`� �`��� -�`��,;�L.�'� <br /> NA1�IE OF OWNER: �RE�vS t��� ���M�S PHOi�TE: (home) 95a-�qa -57y3 <br /> (work) R5�-�,►y� . ,�,8�f <br /> MAILING ADDRESS: �{d5a.DAKiAivi� �� , CITY: Sr,�a,FRc��:s ZIP: SS 375 <br /> CONTRACTOR: 1JR.ENShIELL u��5 PHO�TE: qs�-yyb �►28U <br /> CONTACT PERSON: ;o r�•� 4� �" MOBILE/PAGER: a5 a-�9 a-5 7 4� <br /> MAILINGADDRESS: 4osaoav_�Pv S-�. CITY: s�,�i�,.�,,;�Ac,`,�is ZIP: SS'3�75 <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�: _ 5-�a:sZS AO�E9 �o '0E�4� � S F-R v ,'Lc <br /> �b0�? ��OEO io GA�fl <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDR001�1S: GARAGE STALLS: ATT. <br /> �_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding lan : $ � 1��� � <br /> I hereby apply for a buildin�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 /> APPLICANT'S SIGNATURE: ��.,..�,.�_._. �-��.----DATE: 7 �� 10,.3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowedz <br /> 9 <br />