Laserfiche WebLink
I. <br /> Total Fee: $ Date Received: <br /> Entered By: ✓t; Permit#: i'1 ° ,) <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. . <br /> (please print all information) <br /> TUE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> • <br /> JOB SITE <br /> ADDRESS: 5-CK.6 0,r S ts y kod ZIP: <br /> I_ <br /> NAME OF OWNER: 'FA C�C� JU A PHONE: (home) 73-17 <br /> 5-64 <br /> (work) <br /> MAILING ADDRESS: 5 a4 Ofrkity( CITY: L.ci; � cSc ZIP: S� -3 S l <br /> • <br /> CONTRACTOR: C PHONE: Y73-3 37 7 . <br /> • <br /> CONTACT PERSON: U � <br /> •: MOBILE/PAGER: 3( �- Ly:?0 <br /> �C�.�P <br /> MAILING ADDRESS: 1 76-05 ( Rct a `/ CITY: fly 01,0 i ZIP: 53`h`•7 <br /> STATE LICENSE: # 5 3.5-L / <br /> ARCHITECT/ENGINEER: PHONE: . <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration✓ Land Alteration <br /> PROPOSED WORK describe in detail): 1 -6-c-orf= 6 fk S�o ; , p RN p-' 'AS F+fdli , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. • <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ c <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 . • - 2 . •i work is not to start without a <br /> permit; and that the work willin .cc. •ance with •e .ppr•ved plan. <br /> APPLICANT'S SIGNATURE: `y'—i! At/CIA / i DATE: j2:_-__-- 3d:± <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />