Laserfiche WebLink
. . �, �i-�5-o�f � s� ,�- �� G ? <br /> � /o � /�,o ,os►,o �_,c-tdG <br /> Total Fee: $ l�Oy�� �� Date Received: <br /> �o -/S-D <br /> Entered By: Permit#: D � <br /> CITY OF ORONO - BITrT 7'T"`V - i <br /> All information must be submi s ��(✓� `ed. <br /> (please � u-S� U <br /> ------------------------------------------------------- �i�"_' '^ ------------------ <br /> THE APPLICANT IS: (circle o�:e) � / n �Q. <br /> ��/� <br /> JOB siTE ann�ss: a ( Zo l�.�U��e � <br /> �r� � <br /> Will this be a Parade of Homes, Remodeler; <br /> ❑ Yes � No If yes, a speczal �nent antl City <br /> Council app�rova �vents will not <br /> be czllowecl. <br /> NAME OF OWNER: p��;I� �- ���.�'e- , ,��-Y7S'-o�/� <br /> (work) <br /> MAILING ADDRESS: �6 �aX yS CITY: ZIP: Ss3z 3 <br /> CONTRACTOR: �JS l cr�e S PHONE: (qS1-�f�z-4�a � <br /> CONTACT PERSON: v-� /k,' 1VIOBILE/PAGER: <br /> MAILING ADDRESS: (�C5 ��c (sKX� CITY: aw�� f't•l/ ZIP: Ss G 2 <br /> STATE LICENSE: # $C ,zvo(, �}Q6�( <br /> ARCHITECT/ENGINEER: ��dv�A �2 S PHONE: rC� - �f 4�- (�z � <br /> MAILING ADDRESS: CITY: � .-���..� W�ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New � Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe i�z detai�: ,��w � � .�.9cavo-r�p <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �d -/.� � <br />