Laserfiche WebLink
� // ��r�/1p ��,,//�/�� <br /> � �..1..� � i.� �'�^ l�i����)�% ' 6��G� �`^�, ���� <br /> i�� � <br /> ` , Total Fee: $ �=_� ' ��'� ` Date Received: � � � <br /> Entered By: �' � ) Permit#: <br /> CITY OF ORONO - BUILDING PERMIT 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 O ONTRACTOR <br /> ---____ <br /> JOB SITE ADDRESS: � �,� N , r= t.._=�2,N,►�A�L� 12.1�, ZIP: �5 3� L <br /> NAME OF OWNER: j"(, L�G LsT �-(��_� S O W l�D!� PHONE: (home) �-}?�-��k3 <br /> . (work) a.-1 `� - l .5 5� <br /> NIAILING ADDRESS: l a.,S' J�1 , G�_�L N vA�L� R1�CITY: o��.o,r.� o ZIP: �t3 2 l <br /> CONTRACTOR: 'j',v, l�(.�G H trS C o �i�i ST�Z., PH y-7 Fs -4 3 0 � <br /> CONTACT PERSON: 'L"S M 1�l.l,� H��-� MOBILE/�GER. Y o 1 -a„�,5 S-� <br /> MAILING ADDRESS:,�o 017 A�s�.�►r►�' c.o.l. CITY: �o�.�.a ti A�(. ZIP: ��p <br /> STATE LICENSE: # !o °J L � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILI�i 1G ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: p,p a�r.► (�, )a.� x. a„3 � G A�R A� � <br /> S'C"I�L� T'� !�X,�S'Ty�� Gfj R,AG L , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ J `I _ �60 — <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 /> � <br /> APPLICANT'S SIGNATURE: '�` � DATE: 1 5' a� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />