Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / n/S', 7-3 Date Received: <br /> Date Approved: <br /> Entered By: ' /Clv <br /> Permit#: ' 7J,7 <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: 1 13 1 ‘OLl J-h/, 5 T T/P341 t___ ZIP: <br /> (work) 330-z,To7 <br /> NAME OF OWNER: ,)©440 e... VLL- t TOA) PHONE: (home) 412-32 1 (.. <br /> MAILING ADDRESS: 1 1 3 1 w i u /4k/iv.T Tie.., CITY: ©,QQut)O ZIP: ,_,---5-3‘V <br /> CONTRACTOR: s---SOA,N -67A) S C'04.76 T /JC PHONE: •7 $ - 32.8.S <br /> MAILING ADDRESS: 27L 1.1 t- trt.ily OIt 6-.i Pe! CITY: -,57i J3--C/(._. ZIP:A/2-1/47 <br /> STATE LICENSE: # Q0O 32S/ <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) : <br /> STORIES: SQ. FEET OF EACH FLOOR: /QST FEZ /27_5-1 .2 A).D ,573ey 4&S- <br /> NO. OF BEDROOMS: / GARAGE STALLS: ATT. DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ��£ <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: 2. '.1/1 <br /> ,' . '� ;-` DATE: Z— /9-13 <br />