Laserfiche WebLink
AuQ-23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 002/003 F-61T <br /> , , <br /> , � - <br /> ' Total Fee: $ ]7ate Recez�ved: <br /> Entered By: Permit#: <br /> - -- _-_-� <br /> CITX O�' ORONO - BUILDING PE�tMI'T APPT��CATION !` ' � <br /> �. <br /> All information must be submitted in full before plan reYiew wilI be started. <br /> - (please print nll information) <br /> T�T'E APPLYCAN� IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE AriDRESS: �.���'S' .�1�,-?3-ri /►/� � �D.�' � ZIP: S� 3�"-� <br /> NA.ME OF Q'GS'I��R: ����S l�€�� ..�; � ;H PHONE: (hame) �5� -4't; ..�t`i �C� <br /> (work) <br /> 1-LA.II.INCr A.DDY2ESS: �y�'S' �l c:rr� ��2 n� Ll ��Clri'Y: t�2�►-!� ZT�': SS�;;i:�y <br /> CONTRACTOR: i�i,�.,f',�, � ,�.v �..�n; �,!' �o;.iT2.�C'�I30IV�: 95�-��3?- (��i S`1 <br /> CONTACT PERSON: Fl,,,��� MOBILE/PA�ER: <br /> ' ,,z s� ,« ZIF: 553.�'� <br /> :1�IA,TLTNG ADDRE.SS: �.,2 a� .� iv.c<,•:�f-: F,,��CITY: � ,� � f: — <br /> STATE LIC�NSE: � .����G�� 3b s <br /> ARCT�TECT/ENGINEE�t: PHOI�'E: <br /> �IAILTl\rG�ADDRESS: CITY: ZYP: <br /> NAME: REGISTR,A,TYON# � <br /> TY�'� OF W ORI�: N'ew Addi tion Accessory Structure <br /> Move RemodeUAlceration '-l/ Land Alteration <br /> PROpOSED WORK(describe in detai�: �2�,�2��� � �. � Y e, +.���1��� <br /> U�' �' lr"�C'- .�� <br /> STORIES: SQ.FEET OF�,ACH FLOO�t: <br /> NO. OF BEDROQMS: G�ARAGE STALLS: ATT. ]�ET. <br /> ESTTMA'T'ED COI�'STR.UCTI4N VALUATION(exclucling land): �a �l ��'�� ���`_� <br /> I hereby apply for a buildi.n�pemiit and I ackaowletlge that the information above is complete a.nd <br /> accurate; that the work wiU be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand thi� is not a permit and work is not to stan without a <br /> permit; and that the work will be in accordancz with the approved plan. <br /> APPLTC�iNT'S SIG�NA � %� DATE: �- 1��� ��. <br /> NOTLG'! Parade Q�2mes events require separate permit approval by 1'olice Departrnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />