Laserfiche WebLink
w CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> l <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <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 ONTRACTOR <br /> JOB SITE ADDRESS: 2 Ce U/. /i47ret At ZIP: <br /> / (work) <br /> NAME OF OWNER: 4111/1 114m/A,14,1 PHONE: (home) <br /> MAILING ADDRESS: 160(2 a/, 1043,10* CITY: p/MitiO ZIP: <br /> CONTRACTOR: /ylyd rir J l* I e,V * /14100,4404 PHONE: Pa I'`40d1,2.... <br /> MAILING <br /> 1,2..- <br /> MAILING ADDRESS: 38/ iti. 4 4f/. CITY: ri L. ZIP: SS'q/9' <br /> STATE LICENSE: # N.31P3 <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 Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : rovv ?'` 6.4...fre 0.,444 esacoi Sha&'J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /4. 0(70/4 <br /> `4 <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: 4444*047 <br /> u `-- DATE: 7/30/9:2_ <br />