Laserfiche WebLink
� Total Fee: $ ��, /�J `�'(� �' Date Received: <br /> Entered By: permit#: � � � � -'� <br /> CITY OF ORONO - BUILDING PERMIT 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 CONTRACTO <br /> JOB SITE ADDRESS: l5� Mc.C�11e� Rol, p,QC�UO ZIp; <br /> _ <br /> NAME OF OWNER: �12.�C� � l�'�i�f�4 �tYN l,(Nl PHONE: (home) ��a- Q 7(0� <br /> (work) <br /> MAILING ADDRESS: ��O,j ./i�1�/t[_CITY: / ' ZIP:_Uy��;�C�. <br /> � <br /> CONTRACTOR: L�i vu^s; �-rc� Catsfi-u�t,"<�n PHONE: q9lv-//a� °' q�9- 7a� <br /> CONTACT PERSON: UtJi Sf'o� MOBILE/PAGER: 599-0�77� <br /> MAILING ADDRESS: (o y�c�a �i�v ��.f�,'�✓CITY: �cl2f?�itGric, ZIP: �3 3 St� <br /> STATE LICENSE: # 3(�c f� <br /> ARCHIT`ECT/ENGINEER: Sh�rratf- ,C�.stGfn PHONE: ���'9 �5� <br /> MAILL'VG ADDRESS: S�q� �y��;d Lan e CITY: �rG�c�� ZIP: 5333 / <br /> NAIV�%: /�!��Ce- �f1Ar�� REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: /(JG(,v C���f�r}�� � a-S7U/�t� <br /> �1�I'L� S,��i�� <br /> I SS �.00�- 1-13o s F r-�:,,"s►�cot <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: �nd �ltbK.- l5 C� SF Ft nt5hed <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. � DET. <br /> ESTII�IATED CONSTRUCTION VALUATION (excluding land): $_��,QGt'. � <br /> I hereby apply for a building pernut 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 t�ot to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> �— � . <br /> APPLICANT'S SIGNATURE� �—� DATE: /�`/-9 <br /> NOTE! �arade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />