Laserfiche WebLink
CITY OF ORONO BUILDING PERMIT APPLICATION <br /> Total Fee: $ , 3 ./� Date Received: <br /> Date Approved: <br /> Entered By: (�✓ <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> TBE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: :3 7"o ( ZIP: 5,1539 ) <br /> (work) ��/�`j <br /> NAME OF OWNER: Am S, Af, / c�1,S PHONE: (home) !7/ -p <br /> MAILING ADDRESS: 36 y(o 7'©67 r�) CITY:I-JA U Z-4 T-Iq <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: $ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory StructurAlt—eration Move <br /> Demo Remodel/Alteration Renovate Land <br /> PROPOSED WORK (describe in detail) :_C.O.t_S%eaz r 10'e-1,2 , rV.W /U <br /> STORIES: SQ. FEET OF EACH FLOOR: / CJ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. — DET. "— <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ CJQ oo <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 /> `hat the work will be in accordance with the approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br /> �� � <br />