Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 0 -9 Received: /z <br /> Date Approved: <br /> Entered By: n- 1fk3 3 <br /> Permits. <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 or CONTRACTOR q <br /> JOB SITE ADDRESS: /10 y �U�'`� �� { L` �`�- ZIP: <br /> (work) 375'35'3 <br /> NAME OF OWNER: �U rYl U L,,ikt PHONE: (home yy 7`I 9� <br /> MAILING ADDRESS: 5?r o CITY: ZIP: <br /> CONTRACTOR:- 1�vv�l ns n(z _ PHONE: <br /> MAILING ADDRESS: �i3�S ��J CITY: ZIP: S-37yZZ <br /> STATE LICENSE: # �Jy� <br /> ARCHITECT/ENGINEER: (�S S 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 pjemit and w rk is not to start without a permit; and <br /> that the work will be in ance I <br /> he approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br />