Laserfiche WebLink
Total Fee: $ Date Received: �C � � <br /> �� <br /> Entered By: Permit#: �� �y c� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> :\ <br /> JOB SITE ADDRESS: �� l��' C'�SGf� N�] G(ki� Z�: <br /> NA1�1E OF OWNER: ��v'�� �JG�r�r� PHONE: (home) <br /> . (work) �-IS,�-2 3`� -�9�`�i <br /> MAILING ADDRESS: �� <���P( (�%i.(,���CITY: �/�.b�Jv ZIP: <br /> CO`�'RACTOR: /r� (�4/�a.�1 �.Dit15•�v��7�,� PHONE: (v,s j _2l(� `���� <br /> COr�T'ACT PERSON: �(�r� C'��.,�2.p�,,.1 NIOBILE/PAGER: �.;�� �� �-t?x>�� <br /> M.4II.,ING ADDRESS: " "?� i�A!�t.a r��� {'i�r vc,' CITY: G��v.G'3.!>3 rL�* ZIP: �S-7 Z,S' <br /> ST�iT'E LICENSE: # 2o�i"7�'t D S <br /> A.RCHITECT/ENGINEER: ° ��,►�„�.� C�`�S i�`� PHO�TE: �'S�i - �`�Z •7`��c� <br /> ��II.,�1G ADDRESS: i��� C. u1�-� �j� CITY: ti�=.�'i�'Sv,/l� ZIP: ` 3 ' <br /> NA�`IE: �ri! �"� J %✓�//�s REGISTR.ATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: i�G�ew„-� r� /�•c� �',•{ts�n+r�� <br /> �/.u�z��s n�� �f�rG" � G�--� - <br /> STORIES: Z SQ. FEET OF EACH FLOOR: 2�c�c> <br /> NO. OF BEDR00�1S: � � � GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (exclud.ing land): $ �'�/C�, t- 1!�. c3� _ <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wilI be in ac � ance w' �i th ppro �plan. <br /> APrLIC <br /> ANT'S SIGNATURE: ` � DATE: � � �v U f <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> P� lJ� ���� �'� 5 /5,��� °�� ` <br /> � /� � <br />