Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
Total Fee: $ 43 <br /> Date Received: X-7/ ° ° <br /> Entered By: ,G(_ Permit#: <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 OP(ONTRACTOR y <br /> JOB SITE ADDRESS: LTh ( j f e- ZIP: 5 5 J S(cam <br /> NAME OF OWNER: N„_ck,,,,\Ua _ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: a \L�s > _L PHONE: LI Z S - x<<r 2_ <br /> CONTACT PERSON: -4 r,,. MOBILE/PAGER: l7- S`l!o 5 <br /> MAILING ADDRESS: i-1ooh► CITY: iN1,,IL G ZIP: -53 <br /> STATE LICENSE: # ;�o�;�'� 2 1,5: <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): ,, PO r;_,1,, SL, <br /> STORIES: d SQ.FEET OF EACH FLOOR: c,, <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 00c <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,,,� DATE: '�`=//— OO <br /> NOTE! Parade of Homes events require sepa ate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />