Laserfiche WebLink
CITY OF ORONO - BUILDING PER�IIT APPLICATION <br /> Total Fee: $ T ��� �� -�' Date Received: <br /> Date Approved : <br /> Entered By: ����� � <br /> P e rm i t tt: �/. ��' <br /> � <br /> ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O�dNER or CONTRACTOR <br /> � < � � P zzp: 5-S'3`,� ( <br /> � JOB SITE ADDRSSS: � �� ����' � ��� � <br /> (work) <br /> NAME OF OWNER: �l2-( ��k�C,2.wG-� � PHONE: (home) � � — <br /> MAILING ADDR.ESS: �7 T (�f2��-�_T���� CITY: � r L�' p _ ZIP: �5 3 i' ( <br /> CONTRACTOR: � ,✓1 G� PHONE: D�j�' - g(��r� <br /> / � /' � ��.� <br /> MAILING ADDRESS: /�S�%� �� Gl��� f`� CITY: , `�U.;c�.s�,�i�� ZIP: � <br /> STATE LICENSE: ,� <br /> ARCHITECT/ENGINEER: p$��' <br /> MAII,ING ADDR.ESS: CITY: ZIP: <br /> N��: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> , ; � � S- <br /> PROPOSED WORR (describe in detail) : ��5� �. / `���? ' <br /> STORIES: SQ. FEET OF EAGH FLOORs <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> l� c� " <�c J <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ x �J� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will. be in conformance with the <br /> ordinances 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 accordance with the app roved plan. <br /> /'� ' <br /> C --, <br /> � DATE: � U— ��� � I� <br /> APPLICANT'S SIGNATDRE: ( � - ` <br />