Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ' ! Date Received: <br /> Date Approved: <br /> �; , <br /> Entered By: � ��' Permittt:�� ��' y <br /> Ar•r• INgpRMATION MIIST BS SUBMITTED IN FIILL BEFORE PI�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- <br /> TgE APPLICANT IS: (circle one) O�dNER r CONTRACTOR <br /> JOB SITE ADDRSSS: la.SC� I�r�ar c�� � ZIP: �!J �� � <br /> (work) <br /> NAME OF OWNER- ���l YYl U✓1 Gl � �a�.l ��✓�G 5�✓�� � PHONE: (home) `7`1 ��0 b �� <br /> MAILING ADDRESS: �Z�U ,�r�u r 5 � • _ CITY: �4��/ Z� � ZIP: $�3`�/ <br /> CONTRACTOR: ���� pH�� <br /> MAILING ADDRESS: �L!'��V�--- CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAII,ING ADDR.ESS: <br /> CITY: ZIP: <br /> N�ME. REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : (11L 1 i�t �n ��� ��'e� <br /> A)1'V1�C�W I� ��L. � �1'( � �C-f`� � lv1�'���C �' �� SY1�C�l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:_� GAI2AGE STALLS: ATT. DET. Z <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ � <br /> ��C�� <br /> I hereby apply for a building permit and I acknowiedge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPI�IC�NT'S SIGNATURE: G�/Yrt-f'�G�- DATE s 3��7^!S <br />