Laserfiche WebLink
! N''''' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 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'CONTRACTO <br /> JOB SITE ADDRESS: 8 3 S 60 I N iSA rn M Z� iJ ZIP: <br /> (work) <br /> NAME OF OWNER: C U6 K 1 ( b LAye L 4- PHONE: (home) <br /> MAILING ADDRESS: Q>3 S LJf/v tT'7'C1M/11 6i2 CITY: 04-61,-)0 ZIP: <br /> CONTRACTOR: ? (-It SE WA—FS C Ai f city PHONE: 4'14 ,57 // <br /> MAILING ADDRESS: 75b (Wil)C- ')rte CITY: L' 44- ZIP: 5S3) -1 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : R� - Ro p1: , RR Pit!C.-6- .5K /(/ U14 i S <br /> STORIES: 2— SQ. FEET OF EACH FLOOR: 10630 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. Z_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 67S;D 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 /> APPLICANT'S SIGNATURE: C (!k le-,12 --) <br /> DATE: 4.---/-7- '7/(Pleas fill out the reverse side of this form) <br />