Laserfiche WebLink
� CITY OF ORONO - BQILDING PERMIT APPZICATION <br /> /-// � �� <br /> Q• ,�� � S Date Received: `/ <br /> Total Fe_• $ <br /> Date A��roved: ' <br /> Entered Bv: ,(��� — Per�it� �i�(j�,5 _ - <br /> AT•7• INgORMATION MIIST BS SIIBMITTED IN FUL.L BEFORE PLAN REVIEW WILL BE SgBRTED <br /> (See Check-off List Enclosed) __________ <br /> ----------- <br /> - --- -------------- <br /> T� �PLI��T Ig: (circle one) OLd,iER or CONTLtACTOR� <br /> JOB SITE ADDKBSS: <br /> .� � � � �c �3 iC�l � ZIP" <br /> (work) <br /> � l '' �� J�--o � l PHONE: (home) ��� ` �3 .�O <br /> NAME OF OWNEFt s � �� <br /> �/{ CITY: L-C v c, �.0 ZIP: <br /> MATZ�ING ADDRESS: � 3 ��'✓=.,`�s ° � — <br /> C� �v t L v �X� PHONE: S� 3\3 -� �! �� <br /> CON�CTOR: �I r �� � <br /> MAT�ING ADDRESS: � `IO � ,•,v��� � Lc. <br /> Il� CITY: \ ZIP: S J~�'/ � <br /> � �� <br /> ST�� LIG.�NSE: � a <br /> PHONE= <br /> ARCHITECT/ENGINEER: <br /> C=�: ZIP: <br /> MATZING ADDRESS: <br /> REGISTRATION A <br /> NAME: <br /> Accessory Structure Move � <br /> TYPE OF WORK: New Addition Land Alteration <br /> Demo Re.*nodel/Alteration Renovate <br /> .A a v —c� C \ V �-"' ��� <br /> PROPOSED WORR (describe in detail) : � <br /> STORIES: SQ. FEST aF EBCH FLOOR: <br /> NO. OF BEDROOMS: C�'�RAGE STAI�S- ATT. D ET. <br /> - i�a 3 : $ �vv �" <br /> ESTS2sATED CONSTRIICTION VALIIATION (eacludinq <br /> I hereby apply for a building p <br /> ermit and I acknowledge that the information <br /> above is compl.ete and accurate; that the work will be in conform C de�''� that I <br /> ordinances and codes of the City and wi.th the State Building e�it; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work wi1 1 be in accordance with the approved plan- . <br /> ' DATE s �� ��I'�`1 <br /> APPI,SCANT <br /> 'S SIGNATURE= � <br />