Laserfiche WebLink
CITY O/F__ ORONO - EIJILbNG PERMIT APPLICATION <br /> Total Fee: $ /140, 6b r 6b 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 /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: /l/ C- 6-<-2`7/vk-i 2) ir- <br /> > ZIP: 5—s 3c-17 <br /> (work) 87 <br /> N OF OWNER: i U <br /> SME V t--i''' PHONE: (home) vim' Z <br /> MAILING ADDRESS: d1 CITY: ZIP: <br /> CONTRACTOR: &7k 1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate X Land Alteration <br /> PROPOSED WORK (describe in detail) : /C¢4.7'[-/Jv� cde".‘ ,Z� <br /> STORIES: C SQ. FEET OF EACH FLOOR: /3n-0 <br /> NO. OF BEDROOMS: -7 GARAGE STALLS: ATT. DET. Z- <br /> O-U <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2OQ) <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: 7=� �' DATE: 2,,4 4./ <br /> (Please fill out the reverse side of this form) <br />