Laserfiche WebLink
CITY OF ORONO - i��JIL�DiNG PERMIT A.PPI,ICATION <br /> Total Fee: $ Date Received: <br /> Date Aoprove�' : <br /> Entered By: � ` y r�i�� <br /> Permitr: <br /> AT•T• INgpRMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI. BB STARTED <br /> (See Check-off List Encl.osed) � <br /> TgE APPLICANT IS: ( circle one) O��TNER or CONTRP.CTOR <br /> JOB SITE ADDRSSS: � ZIP' v`� `3 / <br /> W4 y Z� � ' � � � (work) <br /> NAME OF OWNER: -,�. 1/� I�? �D �-� � PHONE: (home) � '9 � <br /> MATI�ING ADDRESS: �� I'Y) P _ CI�'�': ZIP: <br /> CONTRACTOR: �p �" <br /> � e. r ��.��h � /Vt��rs� r � Psorr�: �L73 ' �� �f <br /> MATLING ADDRESS: � I,L �U�' t Q� �0 � aCITY:�f�, ZIP: �'�,3� <br /> v <br /> STATE LICENSE: � 7 d� 1� S� � � <br /> PHONE- <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAMF- REGISTRATION � <br /> TYPE OF WORR- New Addition Accessory Structure Move ✓ <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> �'� 1 r �' o ,-y • '' ''� v <br /> STORIES: SQ. FEET OF E.ACH FI�OOR= <br /> NO. OF BLDROOMS• GARAGE STAI�LSc ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ <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 Buiiding 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 accordanc with � a pro ed lan- <br /> � DATE s I/ �� N <br /> APPZICANT'S SIGNATDRE: --7.._ <br />