Laserfiche WebLink
� � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: permitn: ' � v � � <br /> AT•T• INFORMATION MUST BS SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------- <br /> TgE APPLICANT IS: (circle one) O�dNER or CONTRACTOR <br /> �_ � � r <br /> JOB SITE ADDR$SS: � _ ' ZIP: <br /> � o?(p (� /V , .S `z G/-2 l��- (work) <br /> NAME OF OWNER: � V�� ��a ''� U �-� - <br /> PHONE: (home)�� ^��-� �>�� <br /> MATI,ING Annx�ss: �G --�? L� � l� ��_�) cz�: � � �- ��, zzP: <br /> CONTRACTOR: � � �-�c\. '� T�:�` • � ��-� PHONE: 1 l � I ����� -1 <br /> MATLING ADDRESS: ���L�� 1'c� ,ll� 1-��'�1�, CI��.� ,�, �. � ZIP:��� <br /> STATE LICENSE: # ��C��� �� '����� <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME� R.EGISTRATION ,ur <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteratio�-� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � �' c�� �� ���`� <br /> STORIES:�_ S4• FEET OF EACH FLOORt <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 1C �_ <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ IC��-��' <br /> I hereby apply for a building permit and I 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 and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � <br /> �� � �\ ��,.� \ '"<) � <br /> � _ �'z���-�"�--, DATE:�1� �-- <br /> APPLICANT'S SIGNATURE: <br /> _,.` \� <br />