Laserfiche WebLink
, 'Total Fee: $�%G , 0 �� Date Received: <br /> Entered By: ,.�-��n Permit�#: ��}��;i1 <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 information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��� C'hP(tY �U� �'� ZIP: SF�v � <br /> NAME OF OWNER: ���'1-,�� �^8�'�'I'! 31.� PHONE: (home) $ � �'"'��3 <br /> (work) <br /> MAILING ADDRESS: �, �' Gh�Y'r� �f✓ CITY: d�ev�(� ZIP:5�� <br /> � ('� s�7�{—793�} o�;c� <br /> CONTRACTOR: � � ,��"T� x �VC PHONE: ,� �� � 834j s�� <br /> CONTACT PERSON: •�^��y� �.a �-erne,� MOBILE/PAGER: ��-- �96� <br /> MAILING ADDRESS:�q0 m��t��: /�n� CITY: ��c�15iv� ZIP: �5�33� <br /> STATE LICENSE: # f <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(d scribe in detai�: �F'e«�� S�"c��e o�OG,� �'o �N- )�S�`�I/� <br /> � ' �� p uJ'c✓e <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIVIATED CONSTRUCTION VALUATION (excluding land): � ��p� <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 accord ce with the approved plan. <br /> APPLICANT'S SIGNATURE. M 1- DATE: ` /�, O <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non perntitted events will not be allowed. <br /> 5 <br />