Laserfiche WebLink
4. <br /> $ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Ali 7S Date Received: /2 - /2- <br /> I Date Approved: <br /> Entered By: ' /14.4),','") p N7,f <br /> Permit#: 44 <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 -•r CONTRACTOR <br /> JOB SITE ADDRESS: 9 6) O W 10-0(-4-) �`-� ,At. ZIP: S-5-3 5-4) <br /> (work) <br /> NAME OF OWNER: (-- o c-)L���.r- PHONE: (home) 177S--°7 / <br /> MAILING ADDRESS: 900 Lir CIS lit CITY: (t /L SNF' ZIP: 3 3 -S-4- <br /> CONTRACTOR: <br /> 'CONTRACTOR: 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 Accessory Structure Move <br /> Demo Remodel/Alteration )( Renovate X Land Alteration <br /> PROPOSED WORK (describe in detail) : f Le-a-6-c .- - -- <br /> - -- d.e LA-9-s . <br /> STORIES: )------SQ. FEET OF EACH FLOOR: 9770 f- cf5,3-y-- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /-, -a ' <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: (J A DATE: 1 - 1 d - 9. ---- <br />