Laserfiche WebLink
�� - D ERMIT APPLICATION <br /> CITY OF ORONO BIIIL ING P <br /> Total Fee• $ � 7 � -t�� Date Received: � "v� � - �/S <br /> , Date Approved: �� ��.� - �j,� <br /> Entered By: ' ,�.' <br /> _� Permit�: �� �t � <br /> ALZ INFORM�TION MIIST B$ SDBMITTSD IN FIILL BEFORE PI,AN REVIEW WII,L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> . , '� � -- <br /> JOB SITE ADDRBSS: `>��1-� ��� 't�" ( I ^�`%f � ZIP: <br /> (work) ''�� <br /> \� �iV t � r? ��`,� ,l PHONE: (home) - �, ���� _ -- <br /> N� OF OWNER: � � -� \- � � �� _ <br /> .--� _ ,� <br /> MAILING ADDRESS: ��`�t�� -1�'l��Tl�� ��� CITY: }7^��c� �;ft' ZIP: `>�� - , � <br /> CONTRACTOR: ��: � C �' PHONS: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS I.ICENSE: $ <br /> ARCHITECT�ENGINEER: �,�C_7 PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N��g: RBGISTRATION u <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate_� Land Alteration <br /> PROPOSED WORK ( escribe in detail) : � �� �� ll �� 1,�,�t t�= � �'1����L� <br /> i <br /> — _.�-,,_ r. I ,/ � /, <br /> ,\� ��� . L \ i�`\V t� � '��'\ \\ ��I -'�l i F��,_-' k-�t_ <br /> 1 �', �(l �`L', <br /> STORIBS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS:�_ G�G$ STALLS: ATT. DET. <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding Iand) : $ Z6�4�� <br /> I hereby appl.y 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 wil 1 be in accordance with the approved plan. � <br /> ; _-, �. _�_ <br /> ' SIGNAZ'DRE: ���. �;� .�� �� �'�'��C_ � DATE: � �-�� � f\ <br /> APrLICANT S �� _ <br />