HomeMy WebLinkAboutdenied permit/tree removal CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: u.
Permit,r.
AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed}
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THE APPLICANT IS: (circl.e one) WN CONTRACTOR
5 � � Pa� � e, � � 3� �
JOB Sz� �D�SS: Lan c����� ZZP: .� J J
(work) ��9 - � u ��
NAME OF OWNER: 1 Q•-� Ttt�-S-��l PHONE: (home) `-�7 3 - �a�lS
MAILING ADDRESS: �J � � !'� � ��'�- CITY: �C c�ria ZIP: 5� 3� lv
CONTRACTOR: PH��'
MATI�ING ADDRESS: CITY: ZIP:
STATE LICENSE: ,�
ARCHITECT/ENGINEER: PH��'
MAII,ZNG ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure biove
Demo Remodel/Alteration Renovate Land Alteration ✓
PROPOSED WORR (describe in detail) : �-2fYWv e. t�.,� ����,J A-nd �(`�SS l.-Jcx7�
ta;�� ��n�a�e. a� � c�s s c.�,,_,� h��k� •-a-�� � �-Le �,�c� . �c�_ ��-ca,����.-��
� �., � GL�L�-r�C A0.r'�1 ��-2 ,
-�-� �1'hs� .QS�C� ��- ' 1 IL2n� f S C� J�-L-^(�� �}--i�e
STORIES: SQ. FEBT OF EACH FLO�R:
NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET.
�e��,�- de��e� - �;,�e +�re�s o� I��e.s�.o�e- `�. �u.�
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan. �
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APPLICANT'S SIGNATURL�: / DATE: o`
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