Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ��' j Date Received: <br /> Date Approved: <br /> Entered By:- * LL_ <br /> Permit#: / :2 <br /> ALLINFORMATION 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 <br /> (6 aap,c <br /> JOB SITE ADDRESS: '�-45 ZIP: 5,539I <br /> (work) <br /> NAME OF OWNER: CI 44/✓ K.)0" Nrz_Pte— PHONE: (home) <br /> 24AILING ADDRESS: �ktmrr_-- CITY: ZIP: <br /> CONTRACTOR: PgA-IJ O.)LV_0t-i*t CCx,*-TX- PHONE: q-+Z - ' �} <br /> 24AILING ADDRESS: 0540 6ALPlO CITY: 5z9G LS(CVL-- ZIP: S S a 3 1 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: � (l� 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) : S J S n X 3'f t %(L[l:t<- P[AI"W'CE10 ► 800 S E <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2 41I'VS <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: 514eO 9 <br />