Laserfiche WebLink
CITY OF ORONO - BOIZDING PERMIT APPLICATION <br /> Total Fee• $ `�(,%• J 5 Date Received: <br /> Date Approved: <br /> Entered By:��� ;` ° Permit�: (���3.� <br /> A�L INFORMATION MIIST BE SIIBMITTSD IN FDLL BEFORE PLAN REVIEW WILI, B$ STARTED <br /> (See Check-aff List Enclosed) <br /> ---------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) tOWNER or CONTRACTOR <br /> ., . ,�. _, -�_ ZIP: <br /> JOB SITE ADDR$SS: -� . . ,`� <br /> (work) <br /> � PHONE: (home) '.� . <br /> , . . <br /> NAME OF OWNER: ��' �-' � <br /> . � <br /> MAII,ING ADDRESS: - • ' �,i�r� ' ,.' - �s � . •�Tp� , � <br /> . , <br /> CONTRACTOR: ;�''�� , , ' PHONE: <br /> MATI�ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> �RCHITECT/ENGSNE�R: .. PHONE: <br /> MATZING ADDRSSS: CI�'X: ZIP: <br /> g�: R.BGISTRI�TION � <br /> TYPE OF WORR: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate '?•�` Land Alteration <br /> . � � � � .� <br /> PROPOSED WORR (describe a.n detail) • o� ^ � � <br /> �� , , .2. ,f�� j�.:� :�F_ �.' _ . � , . .,.�,.: �� <br /> i ' ' <br /> �'l �l , rt��i, * . � , � , .�A� � . . <br /> STORISS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: G�G$ STAI.ZS: ATT. DET. <br /> . .. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> a�ove 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 /> snderstand this is not a permit and work is not to start without a permit; and <br /> that the work wiI 1 be in accordance with the approved plan. • <br /> C'' � <br /> APPI�ICANT'S SIGNATIIRE: c� �� �%'L.c�c-��.. DATE: i� Z.3 � <br /> � <br /> �-���--..��irf, -�-���-,-. <br />