Laserfiche WebLink
' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> l Total Fee: $ �� � � Date Received: ,���' -� y�' <br /> i <br /> ' Date Approved: y "�� �y4 <br /> � Entered By: �-�'J <br /> i Permit#: �� �� <br /> � <br /> f -- <br /> i <br /> i <br /> � <br /> + ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> � ----------------------------------- --------------------------------------�-. <br /> ? THE APPLICANT IS: (circle one) ER or CONTRACTOR <br /> � J"OB SITE ADDRESS: I 3�� �rd � � � � �' ZIP: �j1 � 3 /� <br /> (work) 5��i'� y9�'r <br /> NAME OF OWNER: � I�� I� a. PHONE: (home) �f z� �-/77� <br /> MAILING ADDRESS:1 3 9 S^ ,Y�r o�-�•t.,� ,� �° ' CITY: �� �"�- Z IP: SS 3 ��L_ <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate �-Land Alteration <br /> � <br /> PROPOSED WORR (describe in detai 1) : �,�Lu.c� �f �^.�O a�.-�— <br /> � � <br /> , <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: ��/9 P� S� , 7 �P� -S � <br /> NO. OF BEDROOMS:�`� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ d o , 0 D / Do � 4 D <br /> I hereby apply for a building permit and I acknowledge that the informati <br /> above is complete and accurate; that the work will be in conformance with t_ <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; a• <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ^ DATE: ��/O - 9 a <br /> __ (Please fill t he re rse side of �this form) _ <br />