Laserfiche WebLink
v, <br /> • <br /> Total Fee: $ Date Received: 2— <br /> Entered By: AMC-- Permit#: PQ 5(oq S <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------- --- ------------------------------------------------ <br /> THE APPLICANT IS: (circle one OWNER CONTRACTOR <br /> JOB SITE ADDRESS: <br /> NAME OF OWNER: PHONE: (home) <br /> (work) /'?TQ <br /> MAILING ADDRESS: �G'r1�- CITY: L/W ll v <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe indetail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 101,I ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '� <br /> ��&)o <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE:61-1 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />