Laserfiche WebLink
� , . CZTY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION IKUST BF3 SIIBMITTED IN FIILL BSFORE PLAN REVIEW WILL BE STARTED <br /> ---------------------------------------�---------------------------------------- <br /> THE APPLICANT IS: (circle one) _WNER�'or CONTRACTOR <br /> JOB SITE ADDRESS: ��l`� S� � �r� S �-� � ���C � ZIP: �S �� � <br /> (work) �z� -_ Z�l�� <br /> �/ C �� �7 <br /> N1�ME OF OWNER: �I Q V►�P_ �, �-l�e � � ( F �t Vv��J�;ti,� _ PHONE: (home) -�--[ / -�{' <br /> MAILING ADDRESS: � 1 S� �� `'1 s �, I P�uce CITY: (�c�,..� z�, '�-� ZIP: SS ��' ( <br /> Na v��v,r� - E-I.�1�. <br /> CONTRACTOR: (v o•�� - - �Y� e v�Q s- Yv��S��� "F PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : T�a v �: �� ��� i v�c; lc s� '�� �c� ��t�5 <br /> as Y����P�} r� �; i�`�� . <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: � � 0 ���' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. � <br /> ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ � � G.�U� � N� `�j,����<<,,�� <br /> I hereby a�ply 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 Fermit and work is not to start without a permit; and <br /> that the work will be in accordance with the apFroved plan. <br /> APPLI CANT'S S I GNATIIRE: ��-yr�e�p !/�'� " ��'� DATE:�' �� �� <br /> (Pleas� iIl out the reverse side of this form) <br />