Laserfiche WebLink
CITY OF ORONO - BUILDING; PERMIT APPLICATION <br /> Total Fee: $ 1�� 7�'' Date Received: <br /> Date Approved: <br /> Lxitered By: � ' <br /> Permit�: '�� y� <br /> AI�L INFORMATION MIIST BE SIIBMITTSD IN FIILL BEF�RE PI.AN REVIEW WILI� B$ STARTED <br /> (See Check-aff List Enclosed) <br /> ---------------------------------- ----------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> - ��y� ��SG� va/J'f/��'- �Y'drl� zzP: S'S��f/ <br /> JOB SITE ADDRSSS. ' <br /> (work) '�7/"�r�� <br /> , J J �/ <br /> NAMF: OF OWNER: �I w�n Y� ~'�» C��'!� � C � U�-�L PHONE: (home) 7 7� ' ��lv L <br /> IKAII�ING AnDxEss: ,Z9�� C`��Sc v �ve n fi ��'. cz�: ��-f� /�: zIP: SS 3`"1/ <br /> CONTRACTOR: pH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STA�S LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION n <br /> T"PE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : `/��-m v � � ���'"�` `,C'C��E f! Sr <br /> STORI$S: SQ. FE$T OF EACH �I.00R: <br /> NO. �F BSDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ 3. 5�t% VU <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 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 t:� start without a permit; and <br /> t�:4t the work will be in accordance with the approc•ed plan. • <br /> �� �yy� <br /> APPI,ICANT'S SIGNATIIF?.E: � �� DATE;�� , _ <br />