Laserfiche WebLink
' CITY OF ORONO - BtJILDING PL�RMIT APPLIGATION <br /> A <br /> �Total Fee : $��J��,. � �;� Date Received• <br /> Date Approved: - <br /> Entered By: ,�� <br /> ' Permit#: r17�� <br /> 1f.LL INPORMA,'1'ION MUST BE SUBMI`1'Z`�D IN FULL BLFOlt� PI,1�N RLVII3'W WILL I3� STI,.B1'LU <br /> (See Check-off List Enclosed ) <br /> ------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: i^i"�'� #�G;.��./ti�{' K-L'C�G� ZIP: ��> >�� I <br /> ��F} l'�W p1'�� (work.) <br /> NAPlE OF OWNER: �'� v��- ,; � PHONL: (home ) <br /> M1�ILING AllllRES:i: 1�'r�;+ �,�1 '�,1��� �CtZG� CITY: �/�,���'!j� ZIP: <br /> .J � � <br /> CONTRACTOR: �1,1��10�'r�� �LEI��ti�� , PHONE• � �� J"C' �j� �- <br /> MAILING ADDRESS: ��� - '�'�-i'1`� �'�� �I I CITY: �,f,%�,��� 1 r'Y-.,E��1. � ,r� Z IP: � ���+.� <br /> TYPE OI' WURR: New Addition Accessory Structur.e Move <br /> Demo Remodel/111teration Renovate Land Alteration <br /> PROPOSED WOR.R (describe in detail) :� ��1r1� �,' �-� �'�•tit ��� t�L-�;'� <br /> :� �� � � <br /> i <br /> � "y � �-' <br /> STORIES: � SQ. FL�ET OF EACII FLOOR: � J � <br /> NO. OF BEDROOMS: GARAGE ST�LLS: ATT. DET. <br /> BSTIMATED CONSTROCTTON VALUATION (eacluding ].and) : $_��, ��'�- <br /> I hereby apply for a building permit and I acknowledge that the informat:io <br /> above is complete and accurate; that the work will be in conformance with tl� <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; an <br /> that the work will be in accordance with �he approved plan. <br /> , <br /> APPLIC�NT'S SIGNATURE: �,,���,�� C��"��f� DATE: 1 ��' �� ? <br /> �.� <br /> �.'�--� S�3 - 2�6`d <br />