Laserfiche WebLink
. , i <br /> � Total Fee: $ � 7�3� �� � Date Received:��iz%'� <br /> Entered By: � Pernut#: /�'�c 3 �f <br /> � <br /> � <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------T-====--------=-�=--�--------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O�QNTRACTOR� <br /> --. _ <br /> '-> - - 7 <br /> JOB SITE ADDRESS: � �� -S �f{""5 ��', � j IZ- �- �- ZIP: S 5 � 1 / <br /> � � <br /> NAME OF OWNER: �"��►-j � �;i�ir,�fi� �_c_� � PHONE: (home) � 7 � - 3 �J S <br /> (work) <br /> MAILING ADDRESS: � ( -� -S^��.5 C a �l i2 c�CITY: �r2 c� �c, ZIP: `�.S,3 �j I <br /> CONTRACTOR: r•� vk'�_. �L. c� PH0�1E: `� S �'t - C� ! U �. <br /> CO�TTACT PERSON: �T-�,�_� N BIL /PAGER: -- <br /> l�1AILING ADDRESS: �J��,�� <o�c��U K'G t� �._A� CITY: �' �-i,�:,� ' ZIP: �► ,S��%�/L <br /> STATE LICENSE: # <br /> ARCHITECTlENGINEER: !�) /-� PHO��TE: <br /> MAILING ADDRESS: CITY: ZII': <br /> 1\'�VIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> 1�1ove Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: F � �,; r s f+ ,4 �=-,�vi.t , <<., x-k �-: �v�=.� <br /> I � � <br /> �E cl�'-��cti��� �4 t�-� -� �fl T �-F �� -r-�..e �i� �__�.�,,e_�,-� — <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOiVIS: �_ GARAGE STALLS: ATT. DET. <br /> ESTIIi ?ATED CONSTRUCTION VALUATION (excluding land): $ � �G�� n �{ <br /> , <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be ir�ccordance with the approved plan. <br /> I <br /> APPLICANT'S SIGNATURE: - / ,�L � � � ���DATE: ��a l Z , � �1�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />