Laserfiche WebLink
CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> � � Date Received: ,��„z2�j� <br /> Total Fee: $ /�{� ,� y <br /> Date Approved: <br /> yntered By: � �,�,�- <br /> Permit�: ''�,Z�``-f <br /> �L INFORMATION MIIST B$ SIIBMIT'�BD IN FDLL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-aff List Enclosed) <br /> ------------------------------------ -- -------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: � ���CC� � �� ft(z2� 1-:a N �. _ ZIP: `� .�3�1 1 <br /> (worx) ���1 l -{%�?-7 3 <br /> �- , t--- <br /> :7� OF OWNER• � .� y „p+�c N PHONE: (home) i-I �) �—c�`l�� 3 <br /> MATLING ADDRESS: ��EX"� Iv�ctT�f�rt-r; LR-r�E CITY. ` '�/_�'1..�'�►�c; ZIP: �.5 3`�, I <br /> CONTRACTOR: ����,�; ,�,� PHONS: L..� �-� � -c� Z� � <br /> �--, <br /> MATyING ADDRBSS: ��,.�,,� �� --� 8 U��E CITY: ZIP: <br /> STATS I�ICENSE: � <br /> c�RCHZTECT/ENGINEER: PHONE: <br /> MATyING ADDR.$SS: CITYs ZIP: <br /> i1�: R.BGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate_� Land Alteration <br /> PROPOSF.D WORR (deSCZ'ibe iII detail) : ��i N�.c:v� �k�s i cr-� �crc c> -� �-���� <br /> . .___.__ <br /> ' ; --� , <br /> ��l vL�, �- �. ���� L•S-� � r-�� � e i0 �.dt-t.�c- l ,� ; ��-t tv e.L-� �-z �. �L��, <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> ?70. OF B$DROOMS: GAR�GS STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ � = �'c'�`-- <br /> I hereby apply for a building permit and 2 acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit an work is not to start without a permit; and <br /> t�at the work will be in accordance�. with the ap roved plan. • <br /> � i � <br /> APPLICANT'S SIGNATOR.E: �/� �-�! O// _ DATE: c�'- z �-��� <br /> � . <br />