Laserfiche WebLink
CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> Total Fee: $ 5'D. o ` Date Received: <br /> Date Approved: <br /> Entered By: Permit#: Z('S� <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> -----------------------(See_Check_off List_ ___---______--__------ <br /> Enclosed) ---__ <br /> THE APPLICANT IS: (circle one) O��r CONTRACTOR <br /> SITE ADDRESS: ZIP: ijy� <br /> JOB S y� <br /> (work) <br /> NAME <br /> NAME OF OWNER: r PHONE: (home)L : `_O <br /> MAILING ADDRESS: O� CITY: d Ge ZIP: <br /> CONTRACTOR: i e�"YG�i°~� PHONE:a:�-0 -4 j 3` <br /> MAILING ADDRESS: CITY: ZIP: <br /> I <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: <br /> 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 /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 acc ce wi h the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �C c/ <br />