Laserfiche WebLink
• ✓ � <br /> � Total Fee: $��Z ' � Date Received: ��U � Z Z� <br /> �. Entered By: Permit#: � Z3 /n 3 <br /> �/5li/o 3 <br /> CITY��ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> --------------------------------------------------------------'�---- - - - --------------------------------- <br /> THE APPLICANT IS: (circle one) OWNERIOR CONTRACTOR <br /> JOB SITE ADDRESS: � ` l.C�� ���C U 1 { � ZIP: �� 3 G�� <br /> N�ME OF OWNER: ��( •C. �� � PHOi�TE: (home)`�S Z - y 7�- `1'G�' <br /> (work) �{G�- 5 Z 7 -,5�; Z cp <br /> MAILING ADDRESS: �� �2�J �5 C c r-� Q� CITY: (j.r,�n�� ZIP: �_S ?�� ( <br /> CO\T'RACTOR: �+� �1� PHONE: <br /> CO`�TACT PERSON: MOBILE/PAGER: <br /> M.AII.I�i 1G ADDRESS: CITY: ZIP: <br /> ST�iTE LICENSE: # <br /> ARCHITECT/ENGINEER: � � � PH0�1E: <br /> l��IAII.�'G ADDRESS: CITY: ZIP: <br /> N�IIE: REGISTRATION# <br /> TI�E OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> �^�,� <br /> PROPOSED WORK (describe in detai�: ��k� �- �ti�`��.,�s� � Q �t�'�%� ' <br /> STORIES: � � SQ. FEET OF EACH FI.00R: /6 j D _ <br /> 1\'O. OF BEDROOMS: � L— GARAGE STALLS: ATT. DET. <br /> ��,� 7 / Q, ��,o�� <br /> ESTLl1ATED CONSTRUCTION VALUATI0�1 (excluding land): $G- ' _ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit an ork is not to start without a <br /> permit; and that the work will be in accordance with,� plan. <br /> _ _ . ___ -------:; . <br /> _ _ �-;�- � <br /> - -.- , �. <br /> APPLICAl�'T'S SIGNATUR�:�� - - � DATE: � �� Z��� <br /> � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />