Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ��/ , S Date Received: '7//�/9 <br /> Date A_Doroved: <br /> Entered By: �( <br /> Permit'7r: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR M 0 �/ J <br /> JOB SITE ADDRESS: 3( 30 a r t�Pr h al �2 "�YZ��� ZIP: <br /> ' (work) <br /> NAME OF OWNER: T),jo ma S Burne V I v\ PHONE: (home) / 71'®0 2%`1 <br /> MAILING ADDRESS: 3(, 30 Qbrt�ern cIO <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: New /` Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : � �U �LtlD S �8 r <br /> c v 0 fig OCT PC)Oy, trosa-,- <br /> STORIES: <br /> Z' SQ. FEET OF EACH FLOOR: l0 C 7 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> /- 0 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ V0 S v <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 /> DATE: <br /> APPLICANT'S SIGNATURE: �� / <br />