Laserfiche WebLink
r \ CITY OF ORONO _ BUILDING PERMIT APPLICATION <br /> Total Fee: $ / 02� Date Received: <br /> Date Approved: <br /> Entered By: �'-�� � �� <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 i<CONTRACTOR <br /> JOB SITE ADDRESS: 1 ZIP: �3 <br /> (work) <br /> NAME OF OWNER:- , LO LA V, ('( R PHONE: (home) "��Z <br /> MAILING ADDRESS: a W ALE e 'j a CITY: 0 co m) ZIP: <br /> CONTRACTOR: Ple,,k ki <br /> ► r PHONE: <br /> MAILING ADDRESS: ` nrr;gj CITY: 1?1�100rZIP: S :: "qC <br /> TYPE OF WORK: New Addition_ Accessory Structure Move <br /> Demo Remote/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> � c_ <br /> 1Z LOD, A � � o n�c,.� PHA S� Z <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRtCTION VALTATION (excluding lana) : $ <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 c rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,�; DATE: �• / <br /> rs <br />