Laserfiche WebLink
CITY OF-ORONO - BUILDING PERMIT APPLICATION / <br /> Total Fee: $ 61,g, Date Received: V 95 <br /> Date Approved: <br /> Entered By: C6 ( <br /> (0 <br /> Permit#: v <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: f 2 5 (,U ,/(4, Dr. ZIP: 57S13,5J‘ <br /> (work) <br /> NAME OF OWNER:\J ii-)-1 `J i // y d 01 PHONE: (home),/73 -8 7 C/ <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ..)C/1' PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessor Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �G c,.L TO C e'4, 5-I r t( C I r <br /> e , C ' o e », 62,51 S (- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / 5-C20- 0 0 <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 /> /� r— e}7/3 <br /> APPLICANT'S SIGNATURE: //02 43'T e' ,/al'/) DATE���r�?.�i <br />