Laserfiche WebLink
Total Fee: $_� 7�f , Date Received: `� �— �� <br /> Entered By: Pertnit#: //3 CP� : <br /> CITY OF ORONO - BUILDING PERNIIT APPLIC�T�ON <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDR�SS: /�Z� C� 5 L ZIP: <br /> �o�- 4 �� k a. c'�..���`�.� ��.� <br /> NAME OF OWNER: 1"r��l`�fZ /!Dr►��5 PHONE: (home) <br /> (work) <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: t'���q,�2 (��yVl,�.S PHONE: ��a- 4?3- a3 s� <br /> C0�1'TACT PERSON: .�C Ct�,Q21MGf,P�C. PvIOBILE/PAGER: 3�C�—8r741 <br /> MAILING ADDRESS: '740 �, (�kp �- CITY: z ZIP: �53� ! <br /> STATE LICENSE: # 2�p 33 SSCo <br /> ARCHITECT/ENGINEER: �c,v�, uL�C�✓i PHONE: ?8t —�?oZ�' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: <br /> STORIES: � —�'�b I� SQ FEET OF EACH FLOOR: ��� � a9�s L.L.= <510$' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. <br /> ESTIl�IATED CONSTRUCTION VALUATION (excluding land): $ q Co � i v�QD <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 not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �' I� p <br /> NOTE! Parade Q�'Homes events require separate perntit approval by Police Department and <br /> City Council 60 days prior to the event. Non perntitted eve�tts will not be allowed. <br /> 9 <br />