Laserfiche WebLink
� • CITY OF ORONO - BIIIZDING PERMIT APPZICATION <br /> + <br /> Total Fee: $ ���0 �� l��f Date Received:� '-� '�� <br /> Date Approved: 7 � 'C�" <br /> Entered By: Permit��p��iI ' <br /> A�I� INFORMATION MIIST B$ SIIBMITT� IN FQLL BEFORE P?�iN REVIEW WILL BB STARTED <br /> (See Check-off List Enc].osed) <br /> ---------------------------------------------------------------------- <br /> T� APpZ.ICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: t� z � ��r��� 1�-. �� � �- ZIP: <br /> (work) <br /> NAI�: OF OWNER: Y G,�1 ��* a-w "� PHONE: (home) <br /> �(ATT•ING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��r U � � � �''� ''� ��'"� e s PHONE: �7.� !'`t I $ <br /> MAII�ING ADDRBSS: � � (� �O � Yv ac�� CITY: W ll.v��p,�u ZIP: �:f 3�l � <br /> STATS LICSNSE: # a-� S O <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> rJ�: RBGISTRATIOt� � <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � � 'J <br /> STORISS:� SQ. FEBT OF EACB FLOOR: � GIo � -- 2�--�'� <br /> NO. OF BBDROOMS:� GARAGS STALI.S: ATT. 3 DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (esclndi.ng land) : $ Ot'0 04 ^ <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 /> fi� � 3 � J °� � <br /> APPLICANT•S SIGNATOItE: �110 �'�^ DATE: <br />