Laserfiche WebLink
Total Fee: $ Date Received: 3�-d� <br /> Entered By: Permit#: ,4�r-�.Y O o��8,i. <br /> CITY OF ORONO - BUII..D1tiTG PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> TI� APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��) S� �t��cc-�. ZIP: <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAII�Pi tG ADDRESS: CITY: ZIP: <br /> CONTRACTOR: � luW PHONE: �tl Z �-SS 3�-Z7Z� <br /> CONTACT PERSON: MOBILE/PAGER: . <br /> MAII.ING ADDRFSS: P. f�. F�� '13 3 3 CITY: d►'� r ZIP:�"� .. <br /> STATE LICENSE: # 2cX/�S''kv(� <br /> ARCHITECT/ENGINEER: PA��� <br /> 1��LAII.II�TG ADDRESS: CTTY: ZIP: <br /> NAivIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeUAlteration Land Alteration <br /> PROP SED WORK(describe in detai�: ' �-� �- a`� <br /> STORIES: � SQ.FEET OF EACH FLOOR: 1 f�t�, �Z�� ?�D <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATT. ET. <br /> ESTIl1�iATED CONSTRUCTION VALUATION(excluding lan�: $ >�,L�JO <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will in accordance with the approved plan. <br /> APPLICANT'S SIGNATiIRE: DATE: �rcp��7 <br /> NOTE! rad of Flomes events require separate permit approval by Police Depart»tent and <br /> City Council 60 days prior to the eveni. Non pernsitted events will not be allowed. <br />