Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPI,ICATION , ` 1 <br /> / <br /> Total Fee• $ ��1� Date Received: <br /> Date Approved: <br /> � <br /> Entered By: Permit�: `> 5 �--� <br /> AT•T• INgpRMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WIZ.� B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------- <br /> ------------------- <br /> TgE APpI,ICANT IS: (circle one) WNE or CONTRACTOR <br /> JOB SITE ADDRSSS: /�. `f�% .�i�i���/G � /��_ /it. �` ZIP: .S�S'=��° `� <br /> (work) `�`�'S� �G z�.s' <br /> NAI� OF OWNER: /J i� !� �i� �/� ° c� v-=/Z <br /> PHONE: (home) y?� -��`G <br /> MAILING ADDR.ESS: i z �`O ��/L•�G�- CITY: / r�✓„✓! _ ZIP: �S".�C. `i <br /> PHONE: <br /> CONTRACTOR: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: n <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : -�fT�y�� �-- <br /> STORIES: / SQ. FEET OF EACH FI+OOR: �"U U <br /> NO. OF BEDROOMS: _'� G�GE STALLS: ATT.�_ DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �? iU� <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 wi�ha�hI <br /> ordinances and codes of the City and with the State Building Code, <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 /> Ci�-> -�G 3 <br /> APPLICANT'S SIGNATUI2E: ���1�? � � liv�-���v�• DATE: � e i i <br />