Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> • ��) Date Approved: <br /> Entered By: <br /> Permit#: /f 4 /G <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: S 5,x, �� , r �� ZIP: SSJ6-, <br /> (work) 947--10 ,c, <br /> I �_ `�1 7 5 � � �(t <br /> NAME OF OWNER: +E)61\47- �I C��N I � '�I PHONE: (home) <br /> MAILING ADDRESS: S.5) Com} ! `L CITY:� -.A ( . (At/Yt ZIP: <br /> CONTRACTOR: !V-[ PHONE: Z?-;) --- <br /> MAILING <br /> f MAILING ADDRESS: NX.I1', CITY: ZIP: <br /> STATE LICENSE: # <br /> RCHITECT/ENGINEER: \f) 1-0110Ckl PHONE: <br /> 'AILING 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) : _11 j _ i:t <br /> Lc-14111-65 <br /> STORIES: SQ. FEET OF EACH FLOOR: -:7 <br /> NO. OF BEDROOMS: r GARAGE STALLS: ATT. DET. x :(7`-5TALL., <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ G 7 C)O P')/20(. <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 /> U,PLICANT'S SIGNATURE: ./ /??/ /i -4DATE: 1' 3 cl <br />