Laserfiche WebLink
Total Fee: $ � 5(.� •� �� Date Received: �7- /���� <br /> Entered By: � . Permit#: �jC�� 1��3�� <br /> CITY OF ORONO - BLTILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prini all information) <br /> __ _. <br /> THE APPLICAN'T IS: (circle one) OWNER�O�C^"T�=D�"r'g�---J <br /> JOB SITE ADDRESS: �3� �'G'��l;`-'` �`�� ZIP: S S �I�� <br /> NAl'�IE OF OtiVNER: ��e j��l����/ �-���P�s�'� PHOi�tE: (home) �,z �33�� <br /> (work) <br /> I�IAIL�'G ADDRESS: j 3 S" �r'c� l;°'� '��`��� CTTY: C'�9��' �^ ZIP: ���� <br /> CO�ITR4CTOR L1/c� ���' �Y�`-;" c - PHONE• ��'"z9��_ <br /> C0�ITACT PERSON: ,�c � i B /PAGER� �`�'�� - 1�;-� . <br /> 1�IAILPIG ADDRESS: /�3 S w �%`'�`�zt-�' ' CITY: ��y ��e ZIP: SrS� .. <br /> STATE LICENSE: # ?���39��� <br /> ARCHITECT/ENGINEER: P���� <br /> I�IAII�Itii'G ADDRESS: CITY: ZIP: <br /> N�y�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detain: ����'�"�� �'`'���'"1 �� �`c � �� ` <br /> STORIES: SQ.FEET OF EACH FLOOR: -�6 G <br /> NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. <br /> ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ ��U� � <br /> I hereby aoply for a buildinJ permit and I aclmowledge that the information above is complete and <br /> accurate; dia[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 accor ance with the approved plan. <br /> APPLICANf'S SIGNATURE: DATE: O,� ��� � <br /> NOTE! P ra ade 4�Homes events require se ate permit approval by Poliee Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />