Laserfiche WebLink
_• CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: �1 permit$:�p��C� . <br /> ALI, INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Encl.osed) <br /> --------------- ------------------ <br /> --------------- <br /> ----------------- --------- <br /> TSE APPLICANT IS: (circle one) Oti+INER or CONTRACTOR <br /> JOB SITE ADDRSSS: 3S'�l� L, V�� r�e�S-{-U,J -�CU `c• �✓�ca'�c� ZIP: �3� � <br /> (work) 'SYS-oz-7 S� <br /> NAME OF OWNF.�t: �A-�-�� Ck� PHONE: (h ome) ��/'��'�� � <br /> MAILING ADDRESS: 35412- L.ivlv�-e_�-�-c�� �`� CITY: w�1�'�i ZIP: .�-53� � <br /> CONTRACTOR: S L L F PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /V � 19' PHONE: _ <br /> MAILING ADDRRSS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> PROPOSED WORR (describe in detail) : ,�L�� ' ���� �='"s T�� �' �°u5 C� <br /> STORIES:�_ SQ- FEET OF EACH FI+OORs �o � �- <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � /�E1• <br /> � <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcludi.ng land) : $ /�-a'� <br /> I hereby apply for a building permit and I acknowledge that the informaticx� <br /> above is complete and accurate; that the work will be in conformance with ti: : <br /> ordinances and codes of the City and with the State Building Code; that � <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: � DATE: sl� ��J - <br />