2002-P05579 - doors - Laserfiche WebLink

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� Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �$� ��-u�v�s �A�, I�c� ��11� ZIP: 55.�-S �:% NAME OF OWNER: (;�.P�,�,r.,, �� ,�a Gc�z�,�.sk, PHONE: (home) 7�z`f��•--ul Z5 � (work) )c.,- "3-t-�t1�—! 9 v 3 MAII.ING ADDRESS: S�,,,�__ CITY: L�•��L-�-�(�_ ZIP: �3�3 5 _. CONTRACTOR: TL ;�,,�� PHONE: �!z- �2_3 -G�(�� / CONTACT PERSON: C'oI e �,f �-, MOBILE/PAGER: ��2-Y��`-�z zo MAILING ADDRESS: �)y( izT;' ,q„ S CITY: ;L'1 a �S ZIP: ;3- I'7 STATE LICENSE: # �,C.�2u 31 Z�f Z�:; ARCHITECT/ENGINEER: PHOl�'E: MAII.ING ADDRESS: CITY: ZIP: NAlVIE; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �-- Land Alteration PROPOSED WORK(describe in detai�: �-��v�c�v�� rz� � , �� ;� �``"� ,' 2�"�;�`�1 �V�^�'� y L � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� %� � �Z" I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. �` ,� APPLICANT'S SIGNATURE: DATE: cI'-5 NOTE! Parade Qf Homes events require separate pe it approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed.