Laserfiche WebLink
� - DING PERMIT APPZ�IG�TION <br /> CITY OF ORONO BIIIL <br /> Total Fee - $ �,� , �� Date Received: �'�7- p � <br /> Date Approved: <br /> .� <br /> Entered By: - ���'z=� � ��� �� <br /> Permit�: <br /> AT.T. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI,AN REVILW i�7II�L BE STAR�ED <br /> (Ses Check-off List Enclased ) <br /> ------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> Jos sz� �,nnxsss: � -7.� �i` G/�Sc. � /�l-�� ziP: :S-s-.� �/ <br /> (work) <br /> NAME OF OWNER: �� � Sc /�/l.yD�/Z PHONE: (home ) �f�/-��'/S-f <br /> MAILING ADDRESS: .� �� y C/�,S C. � /��-� CITY: ��%�Y��/�i/i' ZIP: �5.��/ <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZI�': <br /> TYPE OF WORK: New Addition Accessory Structure V Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> l .� i <br /> PROPOSED WORK (describe in detail) : / � X �� �'I�N�aD.S !"�•s���r _ <br /> STORIES� � SQ. FEET OF EACH FI,OOR: �� �� __ <br /> �i0. OF �EDROOMS: GARAGE STALLS: ATT. L�E�'. . " <br /> '),.-� _ <br /> $STIMATED CONSTRUCTION VALIIATION (ezcluding Iand) : $ / ��� ' <br /> I hereby apply for a building permit and I acknowledge 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 wvrk will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATQRE: ..X� DATE: � - r`�`7 -G'�_ <br /> /�/�j �i �, �-/�� �s%�C�'��-l/ /�-�i¢� <br /> �i v (/ C��;����G� G <br />