Laserfiche WebLink
' ' � ���t l-e� � - ag <br /> Total Fee: $ , Date Received: g-���� <br /> Entered By: Pernut#: -�}pa..$�� <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 /> -------------------------------------------------------------------------------- ------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OI�ONTRACTOR <br /> JOB SITE ADDRESS: ��7Z S ���11Y15 [�D j V�'�" �,l1l�C� ZIP: �5�� � <br /> NAME OF OWNER: Uv 1��,I 1�M �O e��" PHONE: (home) <br /> � (work) <br /> MAILP�G ADDRESS: � �Z� �,o�lYJS �DIn�- CITY: n VDV1D ZIP: �"5� ( <br /> COivTRACTOR: W�ll 6� li�/'Y� PD�D�5 PHONE: 7 b 3�- ��3-1 �7`-� <br /> CONTACT PERSON:� �g�y��n '(�p�r�-p i�� MOBILE/PAGER: (p(Z-�7S•� qS7� <br /> MAILI�TG ADDRESS: CIZSs' �u��1 S� CITY: PIV1���� ZIP: 5S�%� I <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1��E: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �V1S'���I�� a� IV�-Gi'd� SW1 i�Ml�� �� <br /> u � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �d, �Dv - <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: DATE: S'�� �D U <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />