Laserfiche WebLink
i <br /> VI' • <br /> � �' CITY OF ORONO - BUILD� T APPLICATION <br /> � ae:: <br /> Total Fee: $ �ate Received: <br /> Date Approved: <br /> Entered By: � - <br /> �MA�t "� 1� Permit#: <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI,AN REVIS`W WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> ? <br /> � � <br /> JOB SITE ADDRESS: ��"����,�� �-��`j�^�, �' Yr'c�-� ZIP: ����� /� <br /> (wo rk) ?�L�'S��'�� <br /> � , � <br /> NAME OF OWNER: ���i��> ���JL�f�'�- PHONE: (home) �7"����_� <br /> MAILING ADDRESS: c��o�j�s c-o ��' � cz�: �¢-�Zr,r�? zzP: �3�,�_ <br /> r <br /> CONTRACTOR: / � � PHONE: <br /> :KAILING ADDRESS : CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : l�� ���,� ��'� � �- <br /> � � <br /> � . ,�?-,�'�� E- �,v <br /> ���,/�'�i'L-�l �i <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. vF BnDROa1�LS: G�AGE STAI.i,S: nTT• L L i�. <br /> �STIMATED CONSTRIICTION VALIIATION (egcluding land) : $ `�� `" /�. L"��? ___ <br /> � 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 /> randerstand 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 /> I` � '''-^ <br /> � <br /> APPLICANT'S SIGNATORE:vJ�?�`��`�'� ��''�' � `�___- DATE: � �1���L� <br />