Laserfiche WebLink
� , <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �// �,�, Date Received: ��y" �-3 <br /> Total Fee: $ / `��� <br /> Date Aporoved: <br /> Entered By: ,�,A� permit tt: `' �d � <br /> AT•T. INFORMATION MIIST BS SIIBMITTED IN FULL BEFORE PI+AN REVI� �I'I' B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------ <br /> -------------------------- , <br /> TgE APpLICANT IS: (circle one) O�dNER or�CONTRACTO� c <br /> � -� 7 / <br /> Ci /'�✓1�- � ZIP: �� � <br /> JOB SITE ADDRSSS: � �� �--r" �� "" - <br /> (work) <br /> ' 3 <br /> f � ��,� �� '� PHONE: (h ome) `1 �� �7 � ` <br /> NAME OF OWNER: �J <br /> MAILING ADDRESS: x'�""`�- CITY: <br /> ZIP: <br /> � ? � 2 <br /> CONTRAC'rOR: �� /J <br /> C�U-' PH�NE: t'l �7 C `- �- S � <br /> MAILING ADDRESS: ` ��/�; ,�., �-�-�- JL�L CITY: � ,lE'- ��� ZIP: S 5 3� Y <br /> STATE LICENSE: � �� �' a <br /> _ PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAIZING ADDRESS: <br /> CITYr ZIP: <br /> REGISTR.ATION � <br /> NAME: <br /> Addition Accessor Structure Move <br /> TYPE OF WORR: NeW Renovate� Land Alteration <br /> Demo Remodel/Alteration <br /> S \ <br /> PROPOSED WORR (describe in detail) : �L`'`'r ` <br /> STORIES: � S4• �ET OF EACH �+�R= �5��� <br /> NO. OF BEDROOMS: " GARAGE STAL.LS: ATT. DET. <br /> �� � <br /> ESTIMATL�D CONSTRIICTZON VALIIATION (ezcluding Iandl : S �7. � <br /> �c�. <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 �^'1thathI <br /> ordinances and codes of e�mit1and work ishn t to start without a permit; and <br /> understand this is not a p , <br /> that the work wil 1 be in accordance with the approved plan. <br /> ^ . / L �' <br /> APPLICANT'S SIGNATDRE: <br /> - �, ��C DATE. c7 <br />