Laserfiche WebLink
, Il <br /> Total Fee: $ _�, C'� � � ��/ Date Received: ; <br /> Entered By: ,�'!i Permit#: f)(��' � C _ <br /> `t`� } l�;r-- �' = t <br /> CITY O�' ORONO - BUII�DING PERMIT A.PPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please print all information) - <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> � JOB SITE ADDRESS:� 37�?C �i v��ss`�d•U /���� _ ZIP: � <br /> NA.ME OF OWNER: �'�l�c,ef�7 �L;�cJ , 7�w,v�iomf s PHO\TE: (home) .-- <br /> (work) '7�,�- 5�"3 �.�7�� <br /> 1tiIA1LL�TG ADDRESS:�� f�c+� f/7333 . CITY: � r,�o<<�`� ZIP: 5�"'�/S�7 <br /> COiVTRA.CTOR: ����2f s7�N,�U, 7�c'tc�v`iam�'s' PHO�'E: 7�3-5�3 �2?�2� <br /> � COi�1T'ACT PERSON: 1�r=1,�i�y� �: ��� /.+ 1IOBILE/PAGER: � _ '��- � � Z <br /> MAII�ING ADDRESS:�� ,(3� 5��3.3 �3 CTI'Y:�lv.,-�cu � ZIP: -S�sYs�� <br /> STATE LICENSE: # �3C �D� 6/��'3 <br /> ARCHITECT/ENG 1NEER: ����7f PHO\�E: <br /> M.�,IL�1G ADDRESS: CITY: Z�: <br /> rJ��; REGISTR.ATION� � <br /> TYPE OF tiVORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ,�f s�c�E.�7�,4( �+���`io�� <br /> /(�Fcv �-�n��7`� _ <br /> X STORIES: �_ SQ. FEET OF EACH FLOOR: /S,C� �'1f; -�� <br /> NO. OF BEDROOMS:��_ � GARAGE STALLS: ATT�. x � DET. . � ��:- ��-• ,�- .-- <br /> ESTiI�i IATED CO`'STRUCTION VALUATIO\ (excluding land): S rC'�,�� <br /> I hereby apply for a buildin�permit and I acknowled�e 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 Buildin; Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be ' Ccordance with the approved plan. <br /> x APPLICANT'S SIGNATLTRE: � �" ^� DATE: <br /> N'OTE! �'arade of Homes events require separate permit approyal by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />