Laserfiche WebLink
-^ CITY OF ORONO - BIIIZ,DING PERMIT APPI�ICATION <br /> Total Fee• $ Date Received: / ,';j�{/�'� _ <br /> Date Approved : <br /> Entered By: permit tt: .1�,'JC � <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILZ B$ STARTED <br /> (See Check-off List Encl.osed) <br /> ------------------------------- <br /> ------------ ___..__.._ <br /> THE APPLICANT IS: ( circle one) �OSdNER �'or CONTRACTOR <br /> <------ <br /> ' " ZIP: ���-� %� <br /> JOB SITE ADDRSSS: � `� �_i /���`�//��� �'�� ,-� <br /> (work) .�/�/// <br /> N�ML OF OWNER- ���/'1 / , i �/� PHONE: (home)���� /��� <br /> . <br /> �.�� ���—� CITY:f��%��%����� zIP: �.5�/ <br /> MAILING ADDRESS: ��/� /�,'��/i�" � <br /> PHONE: <br /> CONTRACTOR: <br /> MAILZNG ADDRESS: ��`�"?'i%''_ CITY: Z IP: <br /> STATE LICENSE: # <br /> ARCHZTECT/ENGINEER: pH��� <br /> MAILING ADDRESS= <br /> CITY: ?.IP: <br /> NAME: REGISTRATION � <br /> TYPE OF WOR.R: New Addition Accessory Structure Niove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �, 5 _.� � ��jf�tii�ii�ji <br /> PROPOSED WORR (describe in detail) : J,���� � -��°�"�2`" C <br /> /� �� � ! /• (/ ,5�� -_. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ <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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Coermit-; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. <br /> � <br /> " �-: r� �� ,= <br /> � .� �� <br /> APPLICANT'S SIGNATURE: �•'` ��l ,"N%� ��� DATE•�i� ��� � <br /> .'..!.. . <br /> 0�; I �I <br />