Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION G� <br /> Total Fee: $ <br /> �O -16 Date Received: r)- <br /> Date <br /> )-Date Approved: <br /> Entered By: <br /> ✓ Permits: 7) I`/- <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 /> JOB SITE ADDRESS: .23(00 W kA) 1 •j - 1 ZIP: ,,5~r?3b(•► <br /> (work) y 'toi <br /> NAME OF OWNER: Loco tPHONE: (home) <br /> MAILING ADDRESS: 2350 LA) r V1iail IUI .CITY: 0/Lund ZIP: 5S-115(.• <br /> CONTRACTOR: )b CC,Co VV4C.M t e PHONE: "� V I ` <br /> MAILING ADDRESS: P00 , (2)4.0„.. -032. CITY: RAM a , Mk)• ZIP: 5'-V35L <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration X Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : TA)3rt1„L S kte lr tit.k 'S JANSR1 5 <br /> WlIYOFo <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> UN <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3 5 0 ( - <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: 24,.4 VIA•4014411— DATE: 7'(., ei <br />