Laserfiche WebLink
Total Fee: $ /22 03 Date Received: 6 `YO lo <br /> t <br /> Entered By: Pl/ Permit#: �C (/ K;�tr- <br /> ;; <br /> k24-91l <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 C�!TBAQTO$ <br /> JOB SITE ADDRESS: q90 a.li L c (Jw VieJAJ Of? •. ZIP: SS Sat 3 <br /> NAME OF OWNER c i f.{ PHONE: (home) <br /> OR (work) <br /> MAILING ADDRESS: qqo WI t C ati tit fiv CITY:00)...) c) ZIP: c -S-3.23 <br /> CONTRACTOR: Al 7 4Z.X.--S PHONE: 4 S/-- 4/go-'/f)-/75"9 <br /> CONTACT PERSON: PA-7- /:c,.-"4' MOBILIt PAGET: 9_,-. .-7 Yc> 9'.fVY <br /> MAILING ADDRESS: 3 C . 6, rrtc ate#st CITY: Si--, ZIP: s /i 7 <br /> STATE LICENSE: # /r- <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration JC Land Alteration <br /> PROPOSED WORK(describe in detail): o71.2 X// aE-tc 416/Pcgi (-40 ,j® <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land $ 6)(7,;(17), <br /> I hereby apply for a building permit and I acknowledge that the info' <br /> rms t ove 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: '211,7DATE: 74)// <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />