Laserfiche WebLink
• CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ r) /, Date Received: Cf-/1-9/ <br /> • ,Date-Approved: <br /> Entered By: ALc)-- <br /> Permit#: 5c7 <br /> ALL INFORMATION MUST BE SUBMI'1XE1) IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: A/311—a 1 re-2 To 64J ti 1a 4 b ZIP: r S 9 <br /> (work) c/ -f 6,2 <br /> NAME OF OWNER: 20/%4, 0 K r,s Pexgj0 'V PHONE: (home) 4173- (, S 6 V <br /> MAILING ADDRESS: 4/3 do?r 17 w n. s7,o CITY: MA*04G R,4/4, ZIP: s--5-3s-7 <br /> Gell , / (1.6121c "- <br /> CONTRACTOR: fiJe.v c- /741/'1 r' S (?0o,r ' 7 o3S o , c PHONE: <br /> MAILING ADDRESS: . <br /> CITY: y) ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration X Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Td /9/J.o /10 a("-- opt .5,40 o4 /d <br /> Z �,v fr-coa2 <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: Z Se X 301 <br /> NO. OF BEDROOMS: 2 GARAGE STALLS: ATT. V DET. <br /> r •` <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /5 000 <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: /9oe-e:4WZ - / DATE: 9'-//- 9/ <br />