Laserfiche WebLink
CITY OF ORONO - BIII DING PERMIT APPLICATION <br /> � <br /> Total Fee: $ � �� ss Date Received: <br /> � Date Approved: <br /> Entered By: rermit�: 5 �a <br /> ALL INFORMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN REVIL�i'n1 WILI+ B$ STARTED <br /> (See Check-off List Enclosed) <br />------------------------------------------ <br /> TgE APPLICANT IS: (circle one) Oi�7NER or CONTRACTOR <br /> JOB SITE ADDRSSS: �2/�b ��'Y G�ada� cr�19��l ZIP: �J' S 3 �,� <br /> (work) <br /> � ' PHONE: (home) �7/�g1Z� <br /> NAME OF OWNER: �[til/ b £ �� <br /> MAILING ADDRESS:�/9'v !�f S'�J W nD� ��9-�7 CITY: �Qp/�� �! ZIP: ��SJ��'> � <br /> CONTRACTOR: O rn w� <br /> PHONE: '7 7/ ' �T Z l <br /> MATLING ADDRESS: O [a0e (/��v CITY: �l �/Ld _ ZIP: 5 5� �7 � <br /> STATE LICENSE: # "" <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> D�o Remodel/Alteration Renovate �� Land Alteration <br /> PROPOSED WORR (describe i.n detail) : <br /> STORIES: SQ. FEET OF EACH FI+OORa <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �' �o <br /> ESTIMATED CONSTRIICTION VALIIATION (exclnding landj : $ ��� ' - <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 con£ormance with the <br /> ordinances and codes of the City and with the State Buildinq 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 ' a ordance with the approved plan. • <br /> DATE: �/ / ' � � <br /> APPLICANT'S SIGNA <br />