Laserfiche WebLink
�;:�:}5'7 - . .. <br />�� . � <br /> y � CITY OF ORONO - BIIII�DING PERl�LZT APPLICATSON <br />�r_.:� <br /> • <br /> � �� �� �� Date Received: <br />�. cal Fee: $�� /r •.z-/ <br /> Date �:�oroved : <br /> �.ztered By: � PennitA: ,('��-' <br /> AT.7. INFORMATION MIIST BS S7BMITTSD IN FLn�L BEFORE PLAN REVIEW WZLL BB STARZ'��.D <br /> (See Check-vff List Enclosed) <br /> �'�������������������������������������������G� ���������������������������� <br /> �"� APPLICANT IS: (circle cne) Ow'NER or CONTRACTO <br /> JOB S2TE ADDRRSS: �57 ��r�nl,��l `.Lt.�- ZIP: 55�� � <br /> (wo r?c) <br /> :3AI� OF aWNER: A'� l►'� U L� - PHONE: (hc:.te) <br /> H�II�ING ADDRESS: �+�p� CI�'Z': ZIP: <br /> d <br /> CONTRACTOR: �y{-��CG� 1�0Y t� _ PH�NS: �''J 3`i 'Z�fl <br /> ?dAII.ING ADDRESS: � 5 ('�1 S 1��G.rt'ir� ��YI CITY: �� Y'Y��IIP ZIP: S� <br /> ST�TS LIC�NSE: T ��" <br /> ,.� c6R P <br /> ARCSITECT/ENGINEER: ��u� � e�.f- � Lrdi PsoxE: �3�( • 2�� <br /> �zrric AnDFzsss:��t�i 5 /Yl�t�l� � . c=�� �-G�i--� (��Q/� zzP: 5534-4- <br /> H�: Pm S.�-�-,�Sp� �.•A' �� �Y✓l� RBGISTRATIOA � 2 V S 1 Z <br /> '^YPE OF WORK: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : W � �"� � � <br /> i 5 �, G�. �C `Q lGw.� � �e I��/►�a� Gvlu w+�S ��'. r.�l 5 <br /> �;l'I�a • �akPa.lU�1v� �o(�- � G��r+�- �jy 5�c �- �R.r�r��� <br /> STORS$S: � SQ. FEST OF EAC� FLOOR: <br /> �i0. OF B�ROOMS: GARAGE STAI�S: ATT. DET. <br /> BSTII+SATED CONSTRIICTION VALIIATIOA (esclnding Ia.nd) : $ '�%�� <br /> = hereby apply for a building permit and I acknowledge that the infor�atior <br /> above is complete and accurate; that the work wi11 be in conformance wit�i the <br /> ordinances and codes of the City and with the State Building Code; t:�at - <br /> understand this is not a permit a work is not to start without a permit; anc <br /> ��at the work will be in accor e with the approved plan. . � <br /> 2 s <br /> �P <br /> PI�ICI�NT'S SIGNATUREs DATEs � • <br />