Laserfiche WebLink
CITY OF ORO�"�'"BDILDING PERMIT APPLICATION <br /> Total Fee: $ , • Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit�: �/ 3 7 3 <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE P7�AN REVIEW WII,L BB STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------- - - <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDR$SS: ��� !I/ �• D�1(7 ZIP: <br /> (work) <br /> NAME OF OWNER: �i,�, r�t o PHONE: (home) <br /> MAII,ING ADDRESS: �L��n _ CITY: o.�� ZIP: � <br /> � <br /> CONTRACTOR: PHONE: ��7��L/ <br /> MATLING ADDRESS: �� „d��_� CIT�:�-�r��?�✓�_ ZIP: <br /> STATE I.ICENSE: # <br /> ARCHITECT/ENGINEER: P$��' <br /> MAILING ADDRESS: ITY: ZIP: <br /> N�,ME: REGI TRATION � <br /> TYPE OF WORR: New Additio Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : P-� <br /> STORIES:�_ SQ- �T OF EACH FLOORs �� <br /> NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ / �1`� - <br /> I hereby appiy 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 wil 1 be in accordance with the approved plan. • <br /> APPLICANT'S SIGNAZ'QRE: � - DATE: U % "�� <br />