Laserfiche WebLink
. • CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> To�ai 'Fee: $ ~7`,. Z = � Date Received: <br /> Date P.pproved: <br /> Entered By:T�('L% R. r�7., �� <br /> Permit tt. / - � 1 <br /> AI�I� INFORMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> --------------------------------- ----------------- <br /> THE APPI,ICANT IS: (circle one) OWNER r CONTRACTOR <br /> Jos sz� �DxBss: 02(0 �f S ��S�o oi�� �o�� Z1P: 553� I <br /> (work) <br /> N� OF OWNER• A ►/l ���-e �-- PHONE: (horne) �1 ( � �(`�'�7 <br /> MATI�ING ADDRESS: a� (o � �J l�Co �� Q� CITY: v�ll� ZIP: 553 `�/ <br /> CONTRACTOR: PHONE: <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATS I,IC�7SE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> g�: R.BGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � 2 {o�F l�vtA Ti�C.�l� ���� <br /> - t' �I <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAG$ STAI�LS: ATT. DET. <br /> - ,� ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $�� � �~ `" <br /> � hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor}c 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 i a ordance ith the approved plan. � <br /> . �- ZS '1S <br /> APPLICANT'S SIGNA �}._-- ��-- DATE_ <br />