Laserfiche WebLink
_ � - CITY OFj ORONO - BUII,DING PERI�LZT APPI.ICATION <br /> ° � � '� � Date Received: � �� � �J� <br /> Total Fee: $ � <br /> Bate Approved: <br /> Entered By: � �}� permit�: l'���' �� <br /> � <br /> AT.T• INFORMATION MIIST BE SDBMITT� IN FUL.L BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: E Z4� L� k o '� � ZIP: -�� 5 3� I _ <br /> (work) <br /> NAML �F OwNER: �-"( r'i-( ,,i 1� M��� U PHONE: (home) 4�.�1- 994sy <br /> IKAILING ADDRESS: I 24 S L�- �n �' 4 CITY:_Q�G..>v ZIP: �5.3� � <br /> CONTRI�CTOR: J G�It�a-�3 C�+1—«TQa.�G"TiG-� �c•�tPav y PHONB� 4�.¢ ' S'�53 <br /> �iATLING ADDRSSS: ��-1' � � �- . ��.� .� c�� CITY: � c ar�,-T i ZIP: �Sc�4c� <br /> STATS LICENSE: � <br /> ARCHITECT/ENGZNEER: �e�-r�aa �� �� t��e �����c�ru��. PHONE: �l Z �-3�.9�, <br /> MA TLING ADDRSSS: CITY: /1�P�4. ZIP= <br /> AI�: �v/�,e-rLILI ,J �s �--t tt��� RBGISTR�iTI014 ,� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �'����o�=� ANo v P -fl�T� ��c i s-rrr-r� <br /> c�e�= �-ra�r�S �P�ILs.TNl�_�Ti— �1s�u� ��rs�rN� t aeac�r ( a.:�� 4:�uo�..�s 1 <br /> � ,J <br /> STORISS: SQ. FEBT OF EACB FLOOR: a� , <br /> NO. OF BSDROOMS:_� G�fR�GB ST�i�S: ATT. DET. <br /> . .� _ <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iandj : $ 4�7 v acS . <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 the approved plan. • <br /> APPI�ICANT'S SIGNATDRE: DATE: � - �S� -`i � <br /> �r,�-�N r � . �.1 Lt C us3 �c <br />