Laserfiche WebLink
,. , , , • <br /> ' Total Fee: $ � 5/� S �% Date Received: 7�--.3 ��' °j �j <br /> Entered By: Permit#: �C�/a ;��, <br /> J <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION = <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � �� S �:._�" 4�,��a�,1�1 , ZIP: � 3 'I <br /> �/"L'v c.t��/�E- � <br /> NAME OF OWNER: s -c? � �j��� 1^�/PHONE: (home) � 1/� �d.�"1 � <br /> �/} r (work) <br /> MAILING ADDRESS: � � �� �S' f�l jj,�i�'Y: ZIP: <br /> '�' <br /> CONTRACTOR: S ��L�s `t PHONE: Ca���C�� � <br /> CONTACT PERSON:�ci� c . - OBILE/PAGER: <br /> MAILING ADDRESS: / �,�� a, �� � CITY: � '�'' ZIP:�.� / L� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIL�tiG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> Accesso Structure I <br /> TYPE OF WORK: N�w � Addition ry <br /> Move Remodel/Alteration Land Alteration <br /> i <br /> PROPOSED WORK(descri�ie in detai�: -2 � L �"' <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: I <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �� C��_ <br /> I <br /> I hereby apply for a building permit 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 /> permit; and that the work will be in accordance with the approved plan. <br /> APPLIC�NT'S SIGNATURE:�� � DATE: � �� Q' �CJ Q <br /> NOTE! Parade of Homes events require separate perntit approval by Police Depar�tent an� <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />