Laserfiche WebLink
CITY OF ORONO - BIIILDING PERMIT APPLIGATION <br /> Total Fee: $ � �. �7/ Date Received: � '��- q� <br /> i�� Date Approved: <br /> Entered By: ,�/�� <br /> Permit#: <br /> ALL INFORMATION MIIST BI� SIIBMITTED IN FOI,L BEFORE PLAN REVIEW WILL HE STARTED <br /> ------------------------------------------------------------------------------- <br /> T�: APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: a� $� �}131NGbOy�1 ��1� ZIP: 553�� <br /> (work) S�f�-13�� <br /> NANII: OF OWNER: �oH+�1 `�C �}�y�LIS �'?}t���ToN PHONE: (home) �{73-�$7�- <br /> MAILING ADDRESS: 33Fst3 1°�I�G D�o1•! Wl�y CITY: LoNG L1�}!L6 ZIP: $�3;s'� <br /> L .t.c)• P3 _�' ,� 2�tC . b�S�?4 <br /> CONTRACTOR: �,yV L p i�tV iS �4 S�EM g 0� � �-1 I�LS PHONE: �y5�-1 rs� <br /> MAILING ADDRESS: I(o31 C_'�� � �a� CITY: H1Na1�'1°tAD�. [5 ZIP: �"�2,.5 <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ����� � l��bk�lc� ek�+µ v►Q-ti� <br /> {'�\kOil II�� 1(�L�Lt.� �k�•QY`i1i� fitie� Y�fca.Y '�C �LLGIn.� . <br /> STORIES: �- _SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROOI�IS: GARAGE STAI�LS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VAI�IIATION (exclndinq land) : $ 5��lo��� <br /> I hereby apply for a building permit and I acknowledge that the informatioi <br /> above is complete and accurate; that the work will be in conformance with th <br /> ordinances and codes of the City and with the State Building Code; that : <br /> understand this is not a permit and work is not to start without a permit; anc <br /> that the work wi 11 be in accordance with the approved p lan. <br /> . �"i • �l . �� — <br /> APPLICA�T S SIG�AT�E: ��°� � _ DAT13. o �a. <br /> _- - " - (Please fill out the =reverse side of- this` form) �� - - -_ - - <br />