Laserfiche WebLink
. ,�►. <br /> . - a <br /> TotalFee: $ ,�{''�i,�,(, DateReceived: <br /> ` Entered By: C� Permit#: �,J.� �;l) <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: � pqp L.oM� L;ndU Avehu� ZIP: SS 3�4 <br /> NAME OF OWNER: W�1��a�.,,� � , �o c k„,,��r PHONE: (home) �-I�2- `-i I (��j <br /> (work) y�3— 2235 <br /> MAILING ADDRESS: � 0 `�v L o�,� L',r�G �v e. CITY: /V�o u r,� ZIP: 5� <br /> � O W N� , � ��-~ -� <br /> CONTRACTOR: I�.T�����- _�.��' �': PHONE: �t '1� ,,C�� �, <br /> CONTACT PERSON: MOBILE/PAGER: 'f'::', ��,t�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New _� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �e�r �n�,r ex��-h��, '��>,�F � �"- ' > <br /> r�:���.���a �e� -�•,rd�k+or ar� Zo'X Zy' q��, ,, f, �- � <br /> STORIES: Z SQ. FEET OF EACH FLOOR: J �O / � �U <br /> NO. OF BEDROOMS: ,� GARAGE STALLS: ATT. DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �r o0 0 <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 be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � m-,� � �=�DATE: `�- -� � '�7 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />