Laserfiche WebLink
CITY (OF ORONO - BUILDING PERMIT APPLICATION �j <br /> Tot4l Fee: $ 3 �Ci � ( 6 Date Received:— 6;2 <br /> �� Date Approved: <br /> Entered By: t' <br /> Permit#: 3 `5& <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 ONTRACTOR <br /> JOB SITE ADDRESS: ZIP: -x'.539/ <br /> (work) <br /> NAME OF OWNER: Frg„ ,4- Bc n G t!- PHONE: (home) 33 y - .54 o 0 <br /> MAILING ADDRESS: /,? 5 ye- 50 CITY: ZIP: <br /> CONTRACTOR: c/c h �� ,-� �/o m cs . PHONE: y7-` -05 S/? <br /> MAILING ADDRESS: /c/ /a I(G 3hers �lE�+'� CITY: AlIrg ZIP: 5� 3H3 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_ Renovate Land Alteration <br /> i <br /> PROPOSED WORK (describe in detail) : -rn fcii or <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 0 <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: DATE: <br />