Laserfiche WebLink
Total Fee: $ Date Received: DZ- <br /> r Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: t 3'q l✓v— �Gt-C.� ZIP: <br /> NAME OF OWNER: cA ye:f t '5 PHONE: (home)`I6a"41 a'-'$$'?C <br /> (work) <br /> MAILING ADDRESS: CITY: vyiCct, ZIP: <br /> CONTRACTOR: Lly1CjC�e r�C.t✓CJ � C�S RHONE: <br /> CONTACT PERSON-yY1 t ! MOBILE/PAGER: <br /> MAILING ADDRESS: p( �-L�CITY: BI Yttvz t IP: <br /> STATE LICENSE: # 4t --30 ' <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): {)-bl aa) n,ek-0 0 <br /> S <br /> OUL <br /> �j <br /> STORIES: o SQ. FEET OF EACH FLOOR: {Gl 0 5 ez <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '7�'j 00* ©� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATU R E YY1 ?4!�)� DATE: ` J'g/n oa' <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />