Laserfiche WebLink
Total Fee: $ Date Received: t l <br /> Entered By: =, � Permit #: TO �Gl <br /> �\ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �ApAll information must be submitted in full before plan review will be started. <br /> (please print all,in formation) <br /> - <br /> ------------------------------- --;------ �--.- -----_..r-------------------------------------------------- <br /> \� THE APPLICANT 4r Gf (circl one) OWNER OR' CONTRACTOR <br /> b JOB SITE ADDRESS: -XSXX Al dc/z(- d z ZIP: <br /> 35 <br /> NAME OF OWNER: PHONE: (home) <br /> (work) -75-/-X0016 <br /> MAILING ADDRESSflC-A541) CITY: ZIP: �'S317 <br /> / ,ed <br /> CONTRACTOR:4 c-y0�_ 301' c�l PHONE: �2- - 05-e <br /> CONTACT PERSON: ' Lvn MOBILE/PAGER <br /> MAILING ADDRESS: D S o 4- ,-- _CITY: A;1; 6 A 4 ZIP: S3-3fI <br /> STATE LICENSE: # X 033 0 j L <br /> ARCHITECT/ENGINEER: i¢R dC j f PHONE: �Sa - J ,�- ��'O <br /> MAILING ADDRESS: _ CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New x Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOS WO describe n detail): E� j iyt ;( 3�Q <br /> a <br /> A ,4 CA 'c-- C 2 & <br /> STORIES:A— SQ.FEET OF EACH FLOOR: LZ- YO <br /> NO. OF BEDROOMS: 4— GARAGE STALLS: ATT. DET. <br /> v� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: (� <br /> NOTE! Parade of Homes events requireion-permitted <br /> arate permit approval by Police Department and <br /> City Council 60 days prior to the event. events will not be allowed. <br /> 9 <br />