Laserfiche WebLink
' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /0 j' �/,Z <br /> g3 Date Received: qJZ3 <br /> /9 Date Approved: <br /> �� <br /> Entered By: J�(/✓`�� <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 o CONTRACTOR <br /> JOB SITE ADDRESS: R 7 7 R-L ZIP: <br /> (work) <br /> NAME OF OWNER: a 4t2G6 PHONE: (home) <br /> MAILING ADDRESS: 397 `x-0-4IKAWA. Q-A CITY: Lo,,rG L44tf ZIP: <br /> CONTRACTOR:__ ��Ac�l1� ��s,Ric-�to•J SPsCI�t?I6S • �N�. PHONE: <br /> MAILING ADDRESS: Yn g�Q tr L S 5 b1w #w /yj CITY:'„-oL4c V+o-6,,� ZIP: <br /> STATS LICENSE: # kaC V <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION s <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : R&MD46L- k-frG 4A 111414C, kaorn M.A1-6� o11K00 <br /> Nwv,+ -► e,tos j jA0 s A)61V LrVzW1 y A&GA, Y <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> NO. OF BEDROOMS: �I 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,%� / DATE: �9.3 <br />