Laserfiche WebLink
�CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> YTotal Fee: $ / Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: Joh / -2 <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) //11�``��O��W//��NER orn CONTRACTOR <br /> JOB SITE ADDRESS: / I p7 �IV JGT J4/4 6KL ZIP: 5 <br /> (work) 9 3 <br /> NAME OF OWNER: ,--IN- 045 N- �� 5 P, 60&6-fik PHONE: (home) <br /> MAILING ADDRESS: ��,� /LTA"�'VFJ ROAQ CITY: ZIP: <br /> CONTRACTOR: rb✓ �/(r�/�i/ / ElL PHONE: `77k) a 1 <br /> MAILING ADDRESS: LOG rillAV0,1 CITY:�,,6KC 0 ZIP: Oy� <br /> STATE LICENSE: # I�PLrj � j eat35 'I <br /> ARCHITECT/ENGINEER: I�'( [<, PHONE: �`f l 0) 3 <br /> MAILING ADDRESS: CITY: PLZIP:�Sy � <br /> NAME: E E /REGISTRATION # IOIG� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : A010I :5rdY H1/01/'o'V 04lop OF <br /> STORIES: I SQ. FEET OF EACH FLOOR: ME <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 accoance h t e pproved plan. <br /> or <br /> APPLICANT'S SIGNATURE: DATE: <br />