Laserfiche WebLink
CITY OF ORONO —., V&I--,DING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- <br /> ------------------- ---------------------------------- <br /> THE APPLICANT IS: (circle one) OWIJE or CONTRACTOR C <br /> JOB SITE ADDRESS: 37 (�d by6.® dA-D ZIP: <br /> (work) <br /> NAME OF OWNER: �,2� 1g' 7Yt k � L- PHONE: (home) `{71-- <br /> MAILING ADDRESS: <br /> 3.7 j1 O L (S &n, M d It U CITY: ZIP: <br /> ®� 4 1C3 Q .5 <br /> CONTRACTOR: <br /> 7- Y U 4 J U 4 A PHONE: <br /> MAILING ADDRESS: L Y U CITY: � 17i4/P/L zIP: S-.5� S / <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> WORK (describe in detail).e^ O <br /> PROPOSED . . . <br /> STORIES: S4• FEET OF EACH FLOOR: � 7 s"d <br /> NO. OF BEDROOMS: <br /> GARAGE STALLSs ATT. .DET, I�1m <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 /> DATE: I <br /> APPLICANT'S SIGNATURE: <br />