Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: Permit Q: 06 _ <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE. SMARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> ADDRESS: /030 N , 101ST h^ exiva ZIP: j5 �� <br /> JOB SITE <br /> (work) 479-73, 7 <br /> //�KO1 O �` , PHONE: (home) <br /> NAME OF OWNER: (� �'��J ZIP: �,S .3�' <br /> MAILING ADDRESS: I �5� <br /> CITY: <br /> CONTRACTOR: 4110/ PHONE: 1-4e)2 o <br /> q Rk / � CITY P22176 <br /> MAILING ADDRESS: ! as 5 C� <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP <br /> MAILING ADDRESS: <br /> REGISTRATION a <br /> NAME: <br /> Structure Move <br /> TYPE OF WORK: New Addition Accessory Land Alteration <br /> • <br /> Demo Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail) : - • <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: <br /> GARAGE STALLS: ATT. DET. <br /> • <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> land) : <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 dw that I <br /> th the <br /> ordinances and codes of the City and with the State Building and <br /> understand this is not a permit and work is note o start ata without a permit; <br /> that the work will be in accordance with the app <br /> • <br /> APPLICANT'S SIGNATURE: Olke,ed___ <br /> DATE: ` -ate'� <br />