Laserfiche WebLink
4 Total Fee: $ r 0 0 L, a� t wc` Date Receive I S 0 3 <br /> 1-30\-- <br /> Entered By: Permit#: O(05-1 <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 CONTRACTOR <br /> JOB SITE ADDRESS: 23-3-b WT 7Y1- P3-ti o ZIP: s-5-3,576 <br /> tLC_ <br /> NAME OF OWNER: i 4/.&ST,U`Iil ia7v1W 14—C.i PHONE: (home) <br /> 1z cz; /, c) (work) <br /> MAILING ADDRESS: d' �f�C 7- ' /6/ CITY: ZIP: <br /> /i r/Gc"- Cum� /�� 5Y?// <br /> CONTRACTOR: o_S/pied_ ,s47x, PHONE: � ?57-c25-2c) <br /> CONTACT PERSON: 1747 t 1 (fr et s MOBILE/PAGER: <br /> MAILING ADDRESS: '3 o-- /ZY) CITY: Ad'e Ccm-6 ZIP: 5373 -6 2 a <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /47-'t ti • PHONE: 6(2-2)2-qO?C) <br /> MAILING ADDRESS: 5/0 i" ///z CITY: m i-s ZIP: S`Yy I y <br /> NAME: i 1 G U ' �., ' r�r' REGISTRATION# '4'/2 / <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> S <br /> PROPOSED WORK(describe in detail): slit- S ru,-c PA <br /> STORIES: Ai/4 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDRMS: GARAGE STALLS: ATT. 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 :c •,t dance ith the .pproved plan. <br /> DATE: 7 /S L? 3 <br /> APPLICANT'S SIGNATURE.:, Lao..., <br /> NOTE! Parade of Homes eve s 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 /> �IL.t L/l)chq- -7-0 ��' ` ryze , ?LA N 0 • 1 t / - <br />