Laserfiche WebLink
- CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> C �7 <br /> � Total Fee: $ � �<� � �'� Date Received: ���js�9�,� <br /> Date Approved: �� �" �i Z <br /> Entered By: ,�-��" <br /> Permit#: `�3�' �� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTORJ <br /> .� <br /> JOB SITE ADDRBSS: GI���' �C'� �� � �-(� �� ZIP: <br /> (work) '�7 S" Z 3y� <br /> N� OF OWNER: � <br /> ��1Q S � f���`���-��J PHONE: (home) �( 7S - � �1��- <br /> MAILING ADDRESS: �� y �L`�`�-�� ' 1 � CITY: `G��, �i� ZIP: �� ��� �-' <br /> BETZ BUILDERS il�� PHo�: <br /> CONTRACTOR: qTqg Njlleres�R������ <br /> MAILING ADDRESS: w����M dn�n~ CITY: ZIP: <br /> � STATE LICENSE: # �S �'� <br /> ARCHITECT/ENGINEER: �j''YL�-'l..C-��'CJ�Ll1- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New /� Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �L'Y1����� �� f � <br /> C Z <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: ��'�- �oE.� �r <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. DET. <br /> s <br /> ESTIMATED CONSTRQCTION VALIIATION (egcluding Iand) : $ �C �"Ex� <br /> —�_ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above i� complete and accurate; that the work will be in conformance with the <br /> o?-dinar_ces and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in ordance with he approved plan. � <br /> ,� � ` <br /> _- ,� <br /> APPLICANT'S SIGNATORE: / ���-7 � � DATE: S �S ��" <br /> �: <br />