Laserfiche WebLink
JUN-01-2005 13� 12 DONNELLY DOTSON '� 612 721 2091 P.02iO3 <br /> j Z - D1 <br /> . a p� C" � <br /> Total Fee: $ �Ol� � � �`� Date Received: <o- -OS <br /> En[ered By: Permit#: , �79�1 <br /> CTi"Y OF ORONO - BUII.,D .]VG PERMIT APPLICATION <br /> A11 information mtut be submitted in full before plan review will be started. <br /> {please print all information) <br /> ___�__ <br /> �i� APPLICANT IS: (cfrcle orce) OWNER O ONTRACTOR <br /> Jos srrE Ann�ss: ` 2� �' a k ��'�'1 ��� z�: �535� <br /> N�iME OF OWNER: N �C_O l� � ('` PHO�1E: (home) <br /> (work) <br /> NiAIL1NG ADDRESS: I (Z 0 C� ��crrY:.a r o n c� z�: s5 35CQ <br /> CpNTRACTOR: �� n e �Cp PHONE: � � . <br /> CONTACT PERSON: �� :►. MOBILE/�'AGER: - <br /> �nvc�DxEss: a�ov � �,��.t.(����rrY: z�: . <br /> STATE LICENSE: # $ y7� <br /> ARCHITECT/ENGINEER: P���� <br /> A�iAII.ING ADARESS: CI'TY: Z�' <br /> NAlIZE: REGIST1tATION#f <br /> TYPE OF WOI2�: New Addiaon Accessory Structure <br /> Move emo Alreratioa Land Alteration <br /> ` �i <br /> PROPOSED�VORK(descri6e in detain: � �f- 1� QrCQs d� <br /> � � � s' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE 5TALLS: ATT. DET. <br /> ESTni iATED CONSTRUCTION VALUA'i70N(excluding lan�: $�L��' , <br /> � <br /> I hereby apply for a building permit and I ackaowledge that the i.nformation above is complete and <br /> accurate; rhat the wo�k will be in confvrma.nce with the ordinances and codes of the City and with <br /> the 5tate Building Cvde; that I understand this is not a perm.it and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plaa. <br /> �v �-1-� <br /> APPLICANT'S SIGNAT`LTRE: J DATE: <br /> � NOTE! Parade f Homes events �equire separate permit approval by Pvlice l�epartmerrx and <br /> ' City Coccncil 60 days priar to the event. Non permitted evercrs will not be allowed. <br />