Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit �J3 <br /> # <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER �CO_NTRAC <br /> JOB SITE ADDRESS: P17 TD-1j(AwA- f-oAcA ZIP: .S S3SL <br /> (work) <br /> NAME OF OWNER: G- .Dfz-(r6 1:-141�t2�oT�6 u-t�f S PHONE: (home) <br /> MAILING ADDRESS: $q_l 104KIWA- P-011D CITY: b..fG- L4,,-T ZIP: <br /> CONTRACTOR:- UV 112A �-4^r 'T2U CSI d'J OC , - �C_ PHONE: <br /> MAILING ADDRESS: Cn �� N76.S��LSSfi'/�+1/ &i- A CITY: (roL4,vJ M-LO`/ ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 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) : Cl X46-6-_ T- (Z-0J ��GRd l 6 5��� . S7* P- <br /> 4 <br /> 4,VA A P o e_Tt d ywJ OF 746- S� e'w lC �� .� C rA l-R L u CX S a7°j <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; ane <br /> that the work will be in accordance+ with the approved plan. <br /> S� <br /> APPLICANT'S SIGNATURE: .//' / o�,�i�i G3�G'✓`^' DATE: , o�9 3 <br />