Laserfiche WebLink
CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ S. 2$ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: 33 9p <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ._ ,( 7L S- /Jio1>ill .rA/0A ci ,C>/Z ZIP: 5-577e / <br /> (work)?,4?4, cr$71./ <br /> NAME OF OWNER: �,,Q/7 fi;G/j ri ,. PHONE: (home)4/2 i' ‘7 <br /> MAILING ADDRESS:4 7,5- /7j0 ?'yJ//y47e 04 CITY: KJj drv-c ' ZIP: .5-5-3‘Y <br /> CONTRACTOR: ..5-1 E PHONE: <br /> MAILING ADDRESS: CITY: ZIP: ---- <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /XQ,O 4-G. ., &IA/ 1 <br /> STORIES: (.2 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: -3 GARAGE STALLS: ATT. 2 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ I) bZ,-a <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 /> APPLICANT'S SIGNATURE. - _ _ -.0 „ DATE: A - - l% <br />