Laserfiche WebLink
. <br /> , � CITY OF ORONO - BQII,DING PERMIT APPLICATION <br /> io�al Fee • $ /�1,�•.l�S Date Received: � �3 ��� <br /> - , Date-Approved: <br /> Entered By: ,�'�i Permit#:J„34'I� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI,AN REVIEW idILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------- _ _ <br /> THE APpLIGANT IS: (circle one� OWNER or�GONTRACTO� <br /> JOB sz� Annx$ss: 3 �� 7 �l, c;�r� �a�,�� _ Z1P: �`�y 3� Gf <br /> (work) <br /> AIAME OF OWNER: �,ct�� � c°� �w�� � �r�`�'��� _ PHONE: (home) <br /> MAII�ING ADDRESS: ��O �) L� r� r'�/ �c'l CITY: lJ�c��r��c� ZIP: S � .j��f <br /> CONTRACTOR: �ri � �Li l5 t!"C�t�''1 PHONE: �y � � � � y � <br /> MAILING ADDRESS: _ �L�' Q �'C�c t.'�iK�� �. c� CITY: I��� /N �4�'�i ZIP:�j � � �_�� <br /> TYP$ OF WORR: New v Addition Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe i.n detail) : � �X � � `��'� � � <br /> STORIES:�_ SQ• FEET OF EACH FI�OOR: <br /> NO. OF BBDROOMS: GARAGE STAI�ZS: ATT. DET. � . <br /> ESTI1�lATED CONSTROCTION VALIIATION (eacluding land) : $ �G'�C� <br /> 2 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 �ot a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> . �,y ��,r-�, DATE: 7 "Z� . � <br /> APPLICANT S SIGNATURE: . ► <br />