Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
. . t <br /> CITY OF ORONO - BUILDING PERMIT A.PPLICATION <br /> i. <br /> Total Fee: $ � � �i a'' a `�� � Date Received: �%� _�� � i� r% <br /> Date Approved: <br /> Entered By: � � �� '�i � <br /> Permit�: r ! " . <br /> ALI, INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPZICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �C,�l.) �(�4��.,�ti ���-- r;(Uvw ZIP: � ,� �� �L' <br /> (work) � ��� ���� <br /> x� oF owx�x: �i � � '� . ���������„"G PHONE: (h ome) � � ��- 7Gz�?( <br /> Pi.��I,ING ADDRESS: �(•� �C��:e�s. ��� _ � CITY: ��C�.,i, ZIP:�S �5 �' <br /> �"• . r�,l 4�r�� _.�7 -��-5 <br /> --�-`�� �� <br /> "� ^ .� i c, � � _ . <br /> y � . <br /> _ l <br /> CONTRACTOR:C,.,.�i t-h.��` �,�ti�,;, � ��,����«�`'�::�.� ���C PHONE: '�-� )`a - �` > >`"= <br /> _ �. <br /> MAIZING ADDR.ESS:� �<-%�% L Ca ��r � . �'�� CITY: L�.=, ,, �.f��-` ZIP: � � z�z � ��, <br /> STATS LICENSE: � �'��'���'-� � �=:�. <br /> ARCHSTECT/L�7Gii�TEER: `� �"".• <__ PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRATION x <br /> TYPE OF WORR: New Addition � Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : Sc't_• >� ---�:_� 1.- -: '�.- e ..• c:_ '.= � . <br /> \ � <br /> 1�.,.tiC �� �•��'�--� :�.r �c' i� <br /> STORIES:� SQ. FEST OF EACH FLOOR: Z=-� <br /> NO. OF BEDROOMS: �" GARAGE STAI.LS: ATT. � DET. —�- <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ i L} �`'< � "s%•- �'�' <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 T <br /> understand this is not a permit and work is not to start without a permit� and <br /> that the work wil 1 be in accordance with the approved plan. . <br /> ,-. <br /> - - , _ _ ,-, v <br /> / ,___ � <br /> APPLICANT'S SIGNATDRE:'/� /��Z'C"�` _' DATE: f�) " �`.,� _ , � <br /> . - <br />