Laserfiche WebLink
CITY OF ORONO - BUILDI�IG PER�SIT APPLICATION <br /> � • <br /> / <br /> Total Fee: $ l� ��� 7 �i Date Received: <br /> Date Approved: <br /> Entered By: ��� permit�: �� �� �"/� <br /> AT•T• INFORMATION MIIST BE SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off ' st Enclosed) <br /> ---------------------------------- - --------------------------------------- <br /> THE APPI,ICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRRSS: � N • �C.c� � ZIP: 5 uJ3 C� `� <br /> (wo rk) y j 5 -�/L J Z_ <br /> N�ML OF OWNER: c�c,c -7 f�'Jt � PHONE: (home) y7 Z. - `�6 U 8 <br /> MAII,ING ADDRESS: �� .� i, /�S 1.�,�-c ��:_, CITY: /1��.,�,�� ZIP: :s S�.�G � <br /> CONTRACTOR: G �/ � PH��' <br /> I�iAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: /��� ci -. PH��' <br /> �.�SAILING ADDRESS: CITY: ZIP: <br /> N�g: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessor Structure riove <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> � � � <br /> PROPOSED WORR (describe in detail) : �Cv✓L '. ��Q ✓� �ti � � �-� <br /> -� L, ��:� L � ��� ;� i� � e�Q . �,, Nta <br /> J� �:.�h S�.e.,�f�✓c� � �;,-��c� �,.� d'S <br /> «n ,�- � �� :� <br /> STORIES:�_ SQ. FEBT OF EACH FZOOR: /Z ���i � <br /> NO. OF BEDROOMSs 3 GARAGE STALLS: ATT. 2� DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ � � Q� S <br /> I hereby appl.y 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 dance with the approved plan. � <br /> APPLICANT'S SIGNA7.'IIRE: � DATE: � � � ' C�' <br />