Laserfiche WebLink
Total Fee: $ �O _o— Date Received: V 3/-0 <br /> Entered By: Permit#: #9 C)a7 5:7 <br /> CITY OF ORONO - BUILDING PERART APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �� O 1 Lt1 a) rs 6tbwZIP:- 5Y33 <br /> NAME OF OWNER: W11 UAm ` sendm Kee!,gr,_. PHONE: (home) y71-799) <br /> T 0 (work) 914-6311 <br /> MAILING ADDRESS: 2,167 Wal-h rs L n . CITY: frccls i o` ZIP: �a 5533� <br /> CONTRACTOR: SEkF PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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): act a ArW 9 q VQ 5 e/ <br /> STORIES: SQ. FEET OF EACH FLOOR: q6 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. �2, DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 SIGNATURE: 214941,.e.- DATE: 71.x/ 000 <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 />