Laserfiche WebLink
CITY OF ORONO -JttiDING PERMIT APPLICATION <br /> Total Fee: $ '2V• ' Date Received: <br /> Q Date Approved: <br /> Entered By: ) <br /> Permit#: J 6 7 <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: 7 Orono 0.4e/,id Pc/ ZIP: <br /> (work) !9i-Ozit <br /> JJ ,, (( PHONE: (home) Mr-OF F <br /> NAME OF OWNER: Ed i x"r(S t1A rn'DS/ c� nn //(�7� -� <br /> MAILING ADDRESS: Y6 SaeS `.t�/�S/'cITY: S/ /'Z et/1 t,AIPs. ?3 <br /> _ I <br /> t <br /> CONTRACTOR: .0 L e \D C.S t PHONE: CA (e)(c C1 <br /> ADDRESS: // / 7 Y `�/!Fr era4'7 4 • . CITY: Al"? ° /c/ (ZIP: �` <br /> MAILING CO� <br /> STATE LICENSE: # Sp OC)C3.7lo/f0 <br /> ARCHITECT/ENGINEER: 047G/1ie PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration & Renovate Land Alteration <br /> �) � jtQ f C)C�� <br /> PROPOSED WORK (describe in detail) : c10-4A -JT <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> (40 <br /> CONSTRUCTION VALUATION (excluding land) : $ -(/ /`' <br /> ESTIMATEDJ <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 DATE: /() -Zi-9-6 <br />