Laserfiche WebLink
CITY OF ORONO - 3UILDING PERMI'i' APPLICATION <br /> otal Fee: $ /, ^�;� %� -` �` - � Date Received: <br /> �� <br /> Date Approved: <br /> Entered By: ,(',,/, permit#: `�.�,;:�`) <br /> AT•T, INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPZICANT IS: (circle one) Oti�INER or CONTRACTOR <br /> JOB SITE ADDRESS: /; � . '�C��.n,_ .�%= GL,a r=..�>-� �'Inl ZIP: -��.�`�/ <br /> _r�-��. �:-� ; (work) `�7= -�`�`!� <br /> `- L = .:.�,tt�.,n,,� �8" <br /> NAME OF OWNER: _.�/�r��s Lc��_n �1,9,�t��,,��:;�� C.��� .r�z� PHONEz �home) �l �s .,z�: <br /> MAILING ADDRESS: h�y� �;'c CITY: �,�: ;���,c i��r; ZIP: _. _; S.��' <br /> '�/,�t- y. � I/ ,y <br /> . ,.. /'N(4'vt�/.'l�'�I- ` <br /> CONTRACTOR: `>��Tu3� ��,�-2�� /'��z.�1,,.� ,% i/�L/fI �.�/�'S� -��ZC_. PHO�: �-/-l:: 3�i��� <br /> MAILING ADDRESS: �_.'-� �"?l CITY: �'���,.�;����. ��.��,'��: ZIP: `.�532-� <br /> STATE I�ICENSE: # <br /> ARCHITECT/ENGINEER: -���"`�/�i'ti' T �'7t�ft,�L"- PHONE: ��� � �=3� <br /> MAILING ADDRESS: fli �'�' `i c�.�Z.�i/� '�Vy,) 5.;:/.'Llit% CITY: /��"�G�r"� . ZIP: _i���l � <br /> � REGISTF2ATION # -- `%`/ 'l'' j 3 <br /> NAME: >- �i'„r� ;""/lcir,'/-�- f�'c���-r�G�"� <br /> TYPF. OF WORR: New� Addition Accessory Structure Mave <br /> Demo Rem el/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : "` � - ��' rz-%`�'�� �-����c0� � �-��'�-ns'c.�i'i' <br /> f/%1 i����-�. <br /> STORIES: SQ. FEET OF EACH FLOOR: ' �� _'`t- -��'�'� ��'`"' - <br /> NO. OF BBDROOMS: l"-� GARAGE STALLS: ATT. �;%� DET. � ��% <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ��/ `�-= y �-�'�� <br /> I hereby apply for a building 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 will be in accordance with t ap roved plan. � <br /> �? <br /> � i� `' ,9yt/��'� DATE: �' /� I�-- <br /> APPLICANT S SIGNATORE: <br /> �_r'.� ,S�r�,� G:�o.ai.� �'1,9n.ac,r <br /> f- G/�L NT C'G Uj3 .:c� - <br />