Laserfiche WebLink
R <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> s Total Fee: $ 1439. 53 Date Received: <br /> Date Approved: <br /> Entered By: - Permit#:_/,r/7 7'l <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------ ----------------------------------- - ---- -- ------------------t---- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: y O ( 'oN k t,.j ZIP: 5S3 7q <br /> V (work) <br /> NAME OF OWNEF r' ;C_[A 01 i CA I�y PHONE: (home) q 7/- g533 <br /> MAILING ADDRESS: CITY: �Y'o►� ZIP: <br /> CONTRACTOR: PHONE: O 3 7 D <br /> �1 <br /> MAILING ADDRESS: TO. I-blolf- 6 �3 CITY: toyza tbAl ZIP: <br /> STATE LICENSE: # d o O 5q -7 S <br /> LE• <br /> ARCHITECT Kot 1rncYe✓ �G� - -`� • PHONE: ZS <br /> MAILING ADDRESS: y 10 1 Waskt'arn. Ave. CITY: ZIP: <br /> NAME: C_a✓►-y REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Irl r'�✓� V eo { <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 informatp.on <br /> above is complete and accurate; that the work will be in conformance with . he <br /> ordinances and codes of the City and with the State Building Code; tha I <br /> understand this is not a permit and work is not to start without a permit; nd <br /> that the work will be in acc ce wi the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: (� - <br />