Laserfiche WebLink
ACITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: 6443 <br /> Date Approved: <br /> Entered By: <br /> Permit#: <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 NTRAC <br /> JOB SITE ADDRESS: # c/ Lj . ZIP: <br /> 7-2RC T Ci Re61571M_U) Gam.)vQ o&.eve y fk/&!�(o (work) <br /> 76NKq v!q-L� G19 R b e tiS , PHONE: (home) 55 7 9 �i 1 <br /> NAME OF OWNER: 3'/m Al iR19N19M Sa 1� <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: l- fp, �^1T6 Q_sW1 BlL,b,0,e5 �-rte, PHONE: _4_1D- S740 <br /> MAILING ADDRESS: I�L1I`7 S,D'AA e A,2 . CITY: --Ad P trP ZIP: 3 <br /> STATE LICENSE: # ()()Dr3`iq 1 <br /> ARCHITECT/ENGINEER: 1J 2 U C iF PHONE: 7 g a-S`'i 9 7 <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 /> PROPOSED WORK (describe in detail) : n F <br /> /3/z mA�N <br /> STORIES: SQ. FEET OF EACH FLOOR: $2 Lnpk V- <br /> NO. OF BEDROOMS:- 3 <br /> GARAGE .STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /asrOlt)o <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 pe it work is not to start without a permit; and <br /> that the work will be in ac rda ce 'th a approved plan. <br /> APPLICANT'S SIGNATURE: DATE: a7 <br />