Laserfiche WebLink
� � <br /> Tdtal Fee: $ l.� ` � ' Date Received: (,P�� -(`j�� <br /> , Entered By: ,� Pernut#: <br /> CITY OF ORONO � BUII�DING 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 R CONTR.ACTOR <br /> JOB SITE ADDRESS: 1 � � J ��i/v ,�w�. ZIP: �� � �^� <br /> --� ---, <br /> NAi�tE OF OWNER: � �y ` v`��`�� �AS PHONE: (home) �S���`��—��`'t� <br /> (work) �3 --�2. S 3 -t�v(� <br /> MAILPIIG ADDRESS: 2� �� �,,,,.�,.�fl,� CITY: C�CZcnv c ZIP: S`S 3 S(o <br /> CO\�RACTOR: PHONE: <br /> COti�'ACT PERSON: NIOBILE/PAGER: <br /> v1.AII..I�i TG ADDRESS: CITY: ZIP: <br /> ST�iT'E LICENSE: # <br /> ARCHITECT/ENGINEER: PHO�TE: <br /> i�iAII..I�i 1G ADDRESS: CITY: ZIP: <br /> l�TA_11E: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure � <br /> IViove Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detai�: (�-��,c.�e� S1n e� c�c,`c.�: ��o� �Z� � (c � <br /> p�. 6'�0.:� L�.� �-v���� �o tM c>-�1.� w�cx,� `�k��4 4, o � G-w�.,v►-.n k l.�;ks� <br /> STORIES: I SQ. FEET OF EACH FLOOR: �"2- s�, � _ <br /> NO. OF BEDROOVTS: � � GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ � ���� <br /> I hereby apply for a buildinJ pemut 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 Buildin; Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wilI be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: v� � �� <br /> �... <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />