Laserfiche WebLink
Total Fee: $ '75'.CC O Date Received: <br /> Entered By: .GE~. Permit#: ,Q 7 4 <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 /> THE APPLICANT IS (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: 4300 I,LJct-k,;}-LhA.r, Pci ZIP: <br /> f Ai , /1/_ <br /> NAME OF OWNER: r/ PHONE: (home) <br /> C kc '- 10 S La t.,1 0"— (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 13A S rP C G ;,, PHONE: ) -3 <br /> CONTACT PERSON: z.. L._ MOBILE/PAGER: <br /> MAIL LNG ADDRESS: r;co 1 Pile Nor ,, ;,\ CITY: e-x,iIQ�(,�, ZIP: c-6&// <br /> STATE LICENSE: # <br /> • <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): rsy ( k <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIATED 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 ..i d work is not to start without a <br /> permit; and that the work will be in accordance . ith .a appr a ved plan. <br /> APPLICANT'S SIGNATURE: / t DATE: <br /> r <br /> NOTE! Parade Qf Homes events require separate pe it approval by Police Department and <br /> • City Council 60 days prior to the event. Non permitted events will not be allowed. <br />