Laserfiche WebLink
, <br /> � � Total Fee: $ ,'.%�'`' `�'�- Date Received: �C` �..2,�./�7.3' <br /> Entered By: ,�,� Permit#: `^ <�;- <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 1.�-� S��t o t-e �t� e �f�� V�, ���c ZIP: 5 S �Gt� <br /> LV�Y ya � � /�1,�,' <br /> NAME OF OWNER: ��'vt ey �i�►,���� ,,� PHONE: (home) � ��] 6��lU 8� <br /> 7;✓ ( (work)— <br /> MAILING ADDRESS: /2z� S'�or�1,�� D r��� CITY: Q r��� (.v� �IP: S�S 3�l <br /> CONTRACTOR: J Uhti S�GIti � I�-- PHONE: y�Z 3�3�� <br /> CONTACT PERSON: .J u�.� S'c k� �� MOBILE/PAGER: q(��—(U�33� <br /> MAILING ADDRESS: 3 l `� Z ��St"���c_ (v� CITY: 1�v Utit c� ZIP: ��3G,� <br /> STATE LICENSE: # �-4�$.i 6 <br /> ARCHITECT/ENGINEER: �`f, f�-, PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure 1/ <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � �1-` � i K S{�►"�y N Stic�c� <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: ��� � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �� <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 Ciry 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: DATE; ( U —�.�`�6 <br /> NOTE! Parade Qf 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 /> 9 <br />