Laserfiche WebLink
• � CITY OF ORONO - BIIIZDING PERMST APPLICATION <br /> Total Fee: $ jcf ._�C� Date Received: <br /> Date Approved: <br /> Entered By: �,,�'�� permit�: � ;.�Y� <br /> A�L INFORMATION MIIST BE SIIBMITT� IN FITLL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� A.PPLICANT IS: (circle one) ��r CONTRACTOR <br /> -__ <br /> JOB SITE ADDRSSS: �S `l `1 L � L� , ►-�t� S i z�r� �� . ZIP: � 5 ��� ( <br /> (work) ����n -`r 7U'S <br /> ��-t'�-i <br /> x� oF owrrEx• ���-j(� S���j /�-� PaoxE: (horae) �3`� -�f �� <br /> 2�iAILING ADDRESS: � `�l U YVi+�czd�u��A�..� cz�:�r��-���=',�--n- zzP: 5 S�'� �-- <br /> CONTRACTflR: C'1 �e-� � .�s:� �.�+.._ � �5�.�<z�k'�-a� �rz-� Paoxs: `��� -t c�� <br /> MAILING ADDR.BSS: �G'�(S LL.' �` cz_��� �9�t.-�-�<y'� ���CITY: S l!3 �t��k ZIP: -�S� � � - <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: Y1 � l�" PH�NE: <br /> M�iIZING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo�_ Re.model/Alteration_� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : ���J�u.�C.e �t-.�CiS�7�V G- �(�'X�C � W �� �-��' <br /> S �_1 V�'EL-�- W ► ,'E"� l�f C'_c.� C.c-�Gt�-- S 7�� ✓��'-�'a.� , <br /> `":TORIES: SQ. FEBT OF EACH FI�OOR: <br /> ?70. OF B$DROOMS: G�GS STAI.LS: ATT. DET.� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ �� ��j , `�� <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 /> �nderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work wil 1 be in accordance with the approved plan. <br /> A.PPLICANT'S SIGNATURE: � � � DATE: <br /> /� <br /> 1 <br />