Laserfiche WebLink
. , <br /> Total Fee: $ �v5� �-�' Date Received: 'c�7��''� <br /> Entered By: � Pernut#: Da 7 __ <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforncation�__` <br /> ------------------------------------------------------------------------ ------------ -------------------------- <br /> THE APPLICANT IS: (circle one) OWNER 0 CONTRACTOR ' <br /> JOB SITE ADDRESS: 3�' �� ��I-j� 4 P�/J(!T„ ZIP: S� � 9 � <br /> � � � � Nd °�� <br /> NAME OF OWNE : �c/A `� �� T-�,l� �Di`� PHONE: (home)�/,,1 �/7/ �6a 7 <br /> (work) <br /> MAILING ADDRESS: ,�6 ,�� ���5 t u . CITY: Z IP: ��3 9/ <br /> `� ►ti'7`" '����� M �c �C1 rv <br /> CUNTRACTOR: /c1����'�¢ �� PHONE: � ! a //� �8g3 <br /> CONTACT PERSON:_���) �',����c�� MOBILE/��;�Z' �, - 3� y 3�/� <br /> MAILING ADDRESS: � � ' CITY: �S ZIP: <br /> STATE LICENSE: # �r j � � v� S � �� �/ �L/ <br /> f <br /> � l� �gg3 <br /> ARCHITECT/ENGINEER: G� �i � (�T PHONE: �p ( �'� t���� <br /> 1��I:�ILING ADDRESS: CITY: ZIP: <br /> l�A1VIE: REGISTRATION# <br /> � � <br /> TYPE OF WORK: New Addition� cessory Structure <br /> Move Remode ion Land Alteration <br /> PROPOSED WORK(describe in detai�: 0 U�(�� �� K .Z' S �� � <br /> -- �J � � v o U <br /> [� �� � N � <br /> STORIES: SQ. FEET OF EACH FLOOR: {-�-�� K t` S S"�� 3 � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> -�'`"- ' � X 1 I � �Q cJ� l� �/ <br /> ESTIMATED Cc�v TRUCTION VALUATION (excluding land): $ /� Oo �'o o� � U v �" <br /> �8' � f� �i- � � � �� � o ��r�� �' 1` t�U � �r �i�15 <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 and work is not to start without a <br /> permit; and that the work will be in accorda with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � � 7 ,7 m• <br /> NOTE! Parade of Homes evert equire separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />