Laserfiche WebLink
� • CITY OF ORONO - BIIILDING PERMIT APPLICATION " <br /> � , C�'�� Date Received: <br /> '^otal Fee: $ � �,, _ <br /> Date Approved: � -- <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MUST BE SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BE STARTED <br /> ------------------------------------------------------ <br /> �HE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ; S� �.5� �-�c � i �� � ���-G�.. ZIP: <br /> (work) <br /> Nl� OF OWNER: � i w, �C� h v� r ,. ��-� PHONE: (h ome) J 1 `( � -<i�� "� _- <br /> MAILING ADDRESS: 3C�� �1�Y�'�L�ti. � �- V[- CITY: �'"r (�i:��� � ZIP: :✓5� � 0,� <br /> CONTRACTOR: � L � �`� � VL t' PHONE: �( 7 � � I ��3 <br /> MAILING ADDRESS: I� �}',� ;Z 1'�'1 ���e�c�.�A �S�V�TY: V►'l��►� <br /> z z P: �����3 �.S`� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : r� � �� � -'r= <br /> STORIES:_�__SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> C�C> <br /> ESTIMATED CONSTRDCTION VALUATION (excluding land) : $ �C'C,'C� " <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 Building Code; that I <br /> understand this is not a Fermit and work is not to start without a permit; and <br /> that the work will be in accordance with the aF�roved plan. <br /> . �� ' .J(��� DATE: I'G?-" � ' y� <br /> APPLICANT S SIGNATURE: � , '��� <br /> (Please ill out the reverse s ' of this form) <br />