Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
J � � CITY OF ORONO - BUZLDING PERMIT APPLICATION <br /> Total Fee: $ / / � 7 � �� Date Received: <br /> Date Approved: <br /> :ntered By: � ��? �� � <br /> Permit�: J ��;� �- <br /> ::�LL INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFOR.E PLAN REVIEW WII,L B$ STARTFjD <br /> (See Check-off List EncZosed) <br /> -------------------------------------------------------------------------- <br /> �'`H�: APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: / �� 5 L!� }C�v'1�'f.�+' flf�� ZIP: �.S3 `) / <br /> (work) �� 5-- 3 3�•� <br /> 9�c�-o�z a <br /> NAML OF OWNER: �. /�,?/t ��f' G�'a�� �7 PHONE: (home) <br /> i4AILING ADDRESS:�`�:a� �C�• `77�� S�- CITY:,f�,��X/.u'J ZIP: .����l3 <br /> CONTRACTOR: f�,� ►r'[r 7�,e'i��'/_ U!'M�'.t,'� _T�c.0 PHONE: �'(9�- 7�/�P/_ <br /> :3AILING ADDRSSS: _�70 0 G(:�F�Gk ��`t" .f'U . CITY: �t,� ��/i✓r`I�PG��I ZIP: .S s�y/`) <br /> STATS LIGENSE: � � L` ���� <br /> ARCHITECT/ENGINEF�22: JiFI�+�f �� M f}/� '/S �/v _ PHONE:�C/5 9- �3� - �7�''Y <br /> �� <br /> MATLING ADDRBSS:��� j3��k- �C S3 CITY:LIy^,K!" �9�'��eG�i°J£.q9 ZIP: Gj� .'3�� <br /> NAMF:: �"'�� �- R.BGISZ�2ATION n //���� M i.v w• <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Re.*nodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : S%�UG L�'� FA.�i� �" �t,�EGL� ��:�s 72 cc c �/c� r/a�-►� <br /> STORIES: ,� SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> . � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacl.uding land) : $ /�C ��L��' • C'L" <br />"� 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 I <br /> understand this is not a permit and work is not to start without a permit; and <br /> tnat the work will be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATDRE:���_+ri�.�— DATE:����; /o'�� /9�3 <br />