Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
� � _r *� <br /> � •Total Fee: $ _ Date Received: � � <br /> Eniered By: Permit#: <br /> . ' <br /> CITY OF ORONO - BLJILDING PERMIT APPLICATI4N <br /> A11 intormatSon mast be submitied in fu11 before plan review wili be started. <br /> (please print aii [�}formation) <br /> ----------------------------------------�.---------------------__-_-----------------------�-------------------_______..-- <br /> THE APPLICANT IS: (circIe one) OWNER OR CONTRACTOR <br /> JOB SIT�: ADDRESS: , � �� .Y�'1.��E_�(-�- �� ZIP: <br /> ��Cx:�p <br /> NAME OF OWNE,R: �t/u____(l�_�I� S �-i PH4NE: (home) <br /> (work)__ <br /> MAILING ADDRESS: Cl'TY: ZIP: <br /> �- <br /> CONTRACTUR: _�- , l,�(,U� �LN� PHONE: �, S�� <br /> CONTACT PERSON:M:f(L� r��lai��lC _ MOBILEiPAGER: 3cr�- �'74f 3� -�?�1 1 <br /> MAILING ADDRESS:_ ; � � ` CITY: � 'ic ZIP: ��,�-''�� <br /> STATE LICEN3E: f{ Z Qb �55 G <br /> ARCHITECTIENGINEER: R�����,2�J�� �' PHONE: S�(c - I l�� <br /> MAII,ING ADURESS: �'1'� 7�� <br /> PJ��; REGISTRATXON� <br /> TYPE nF WORI�: New � Addition Accessory Strucarre <br /> Move RemodellAlt�ration Land Alteration <br /> PROPOSED WORK(descrtbe in detai�: ,����C� J�1� _ <br /> STORIES: ;�—`� ��ti SQ.FE�T OF'EACH FI.00R: '7�thcLw� ��.J.�1` i� 1�L3 <br /> N O. 4 F B E D R OOM� GARA(�E 9TALLS: ATT. DET. <br /> $3TIMATED CONSTRUCTION VALUATION (excluding land): �_����'�}� <br /> I hereby a�ply for a building pe�mit anc! I ac:knowledge that d�e inforrnation above is complete and <br /> accurate; that th�work wifl be in conformance with the ordinances and codes �f the Gity and with <br /> • the State Building Code; that I understand tl�is is not a perniit and wortt is not to start without a <br /> permit; and that the wark will be in accordan�ce ' ihe approved plan. <br /> �APPLICANT'S SIGNATURE: � nATE: � GC� <br /> ;-i��C' j��. ������G�-� � ( � C�,� nd <br /> NppE�t ��'��events requ�"rt separate permit appmval by Pol�c`e De artment a <br /> Cfty Cour�cli �A days pr[or to the event. Non permitted evercts will not be adlowed. <br />