Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> /7�' Date Received: <br /> Date Approved: <br /> Entered By: Permit#: k%Cq <br /> • <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> //��, ,�a/) � ALO ZIP: ..5.- --5-4s� <br /> JOB SITE ADDRESS: �(�i • G�% <br /> (work) <br /> PHONE: (home) <br /> NAME OF OWNER: 2,;./ 2.4.2 <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> �� Z./-13- fO8D <br /> ��� PHONE: <br /> CONTRACTOR: // <br /> !Unn�/J CITY:G- &7f , ZIP: 6-----j-5-6MAILING ADDRESS: .� ��-2��J <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION # <br /> NAME: <br /> Structure Move <br /> TYPE OF WORK: New Addition Accessory Land Alteration <br /> Demo Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail) : /2L .50 10, <br /> STORIES: / SQ. Fi i OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> land) : $ /3, a2y <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; <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 /> ,� /� �� DATE: / 9 l-- <br /> APPLICANT'S SIGNATURE:,�Jait�..u�i ��'�,-/e-leZ: <br />