Laserfiche WebLink
Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR NTRACTOR <br /> JOB SITE ADDRESS: 3 Q W I l tJe{� w.A.7 . ZIP: <br /> NAME OF OWNER: 11 C kOr►reS PHONE: (home) <br /> work) CeSa- -f 3- <br /> M• l s>1 G ADDRESS: 15500 P(ttiCITY: zG. ZIP: S53 ) <br /> CONTRACTOR: j u L (-}0(kNe,j PHONE: c/C 2 4 7 3 67 Z <br /> CONTACT PERSON: (04) MOBILE/PAGER: '763 - y 5 k - q6-7/ <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 A' Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): p ad,r,c d eCK +0 'C i <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .-26900"y `'' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE _Ar DATE: � 3/p Z.__ <br /> NOTE! Parade of Homes events require separate permit approval by Police Department <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />