Laserfiche WebLink
CITY OF ORONO�- BL�ILDZNG PER�i1T APPI�ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: u, (��c f� <br /> Permit,r. <br /> ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B8 STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------- <br /> THE APPLICANT I5: ( circle one) O��INER or CONTRACTOR <br /> JOB SITE ADDRBSS: -� 7-7-5 `-:� �1,`'p,C � 1✓1 `E' 1� � ZIP: � � � � � t/ li <br /> �j1�-L�/�-ic K �- ��..� . (work)"7 / �"�7 /� <br /> f ' � _����'(` �l i �, " � l PHONE: (home) 7��'C��=�,7 <br /> NAME OF OWNER: � ��� ►41 �' C� �=' � � � <br /> � . �,��� 3 ��'Z <br /> � �� �� / � ? =r� � �� �- CITY: ���1�'� m� 1 E ZIP: <br /> MATLING ADDRESS: ���-�=--> �-�� � 1 � �'� - <br /> CONTRACTOR: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��' <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NAMF: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure rlove <br /> Demo Remvdel/Alteration Renovate Land Alteration <br /> ���r � /� ,/ / � <br /> "n detail) : !71 //l�G�'� _�-� � /;��/,�i� //;l ) ��'3/�� <br /> r�oros� woxx (aescr�Le � <br /> ���'- . �- � ' �� � <br /> , . _ ��% � f <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ <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 pe�►it as�d work is not to start without a permit; and <br /> that the work will be in a�ce�orda�i.�e with�he approved 1an. � <br /> i�j� �, � � �, . � '%'� - <br /> -�'"��"`.� ��//�� ,G ;% DATE:�� � // <br /> APPLICANT'S SIGNA - - �� <br /> � �/f. / . . . . <br /> . . . .� .. � i �,'���"�� [ r�( . � - <br /> . ._ .. . . . . ... . ;� `�7' �) <br />