Laserfiche WebLink
� <br /> CITY OF ORONO - BIIII�DING PER�iIT APPLIC�TION <br /> �� � Date Received: <br /> Total Fee: S �� - <br /> Date A��roved: ' <br /> Entered Bv: '� - Permit� �i� �'� - _- <br /> BEFORE PLAN REVIEW WILL BE Sg��� <br /> nr.r• INgpRriATION MIIST BS(SUBMC TTED � �`t Enclosed) � <br /> ---------- <br /> --'----- � CONT_QACTOR <br /> Tgg p,ppI,ICANT IS: circle one) OT�TNER <br /> � �- �_ c <br /> -���� ���^�lc�'� ZIP: _55 �� � <br /> JOB SITE ADDR.BSS: 1 � <br /> (work) <br /> t�t��c��w �tJr� l s� PHONE: (home) �-/�/"�S�_�� <br /> NAME OF OWNER: -�;' � ZIP: ��5" ��� `� <br /> .,��, CITY: rr'��'��:��,,,�, <br /> MATZ,ING ADDRESS: i��� S�1 f� � � <br /> PHONE- <br /> CONTRAC'rOR: <br /> CSTY: ZIP: <br /> MATT=NG ADDR.ESS: <br /> ST�TE LIC._.�NSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> C=�: ZIP: <br /> MAZI.ING ADDR.ESS: <br /> REGSSZRATION � <br /> NAME: <br /> Addition Accessor�y/ Structure biove <br /> TYPE OF wORR- New Renovate V Land Alteration <br /> D�o Re..*nodel/Alteration <br /> � , <br /> � ; �'��> ti <br /> PROPOSLD WORK (describe in detail) - <br /> �' : C- �.ti <br /> � ��'�� -���,F �r�.� ,�.�I R�,S ,�e /� <br /> ^ , • !_�:_%v :% <br /> STORIES: S4- FEET aF EACH FLOOR� <br /> NO_ OF BEDROOMS: <br /> �GE STA7,T,S: ATT. DET. <br /> EST3I�iATED CDNSTRIICTSON VALIIAT20N (eacluding 1and� ' $ " " - <br /> I hereby apply for a building permit and I acknowledge that the informati-on <br /> aDove is complete and accurate; that the work will be in conform C dewith th= <br /> Lh the State Building e�it; and <br /> ordinances and codes of e�itia d work is not to start without a p <br /> understand thi.s is not a p • <br /> that the wor}c wiil be in accordance with the approved pla.n. - - <br /> � � f � �'�r DATE: �C - I�U� ���/� <br /> APPLICANT`S S2GNATUFtE: ,1 � -' <br /> � _ _. <br />