Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee• $ /r � Date Received: c/, <br /> Date-Approved: <br /> Entered By: / / <br /> Permit#: `/ <br /> �� l <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------ <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ��ib5- Lf� AVE Ke ZIP: CS"�SG <br /> (work) IJ- 73 4j&1-,Y3 <br /> NAME OF OWNER: e,l LT Ye"L,A 4 PHONE: (home) 1)73 <br /> MAILING ADDRESS: 3X,_ 6;iA AVS CITY: ZIP: 6 f3-L& <br /> CONTRACTOR: � ai ccl�t Uc L,;It:j PHONE: �/7�- G .� <br /> MAILING ADDRESS: 3/CS GT.( /��� J2�� <br /> CITY: /-c,/)-- ��t.0-c ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : C6CO3� lI7gpj,_ <br /> STORIES:_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 /> APPLICANT'S SIGNATURE: �. �,. c ✓C� DATE: <br />