2004-P08012 - re-roof - Laserfiche WebLink

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� � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �` OS S ��.� ��V rL ZIP: S S 3��-P Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ,�C�'F'' �-c.S"17iJ� PHONE: (home) ��3-� �S� �;3-�Z� (work) �l'SML - �'17�0 '�2-'l� MAILING ADDRESS: �- s�r� C�,,�,� CITY: � ZIP: �S 3 5'� CONTRACTOR: 5� ��u-�v�.5- PHONE: �17� Z��°I—Su�9 CONTACT PERSON: �u-.�� ss MOBILE/PAGER: C��..L2g-�G�4 MAILING ADDRESS: /8al 5w,r��,oc_ G� CITY: li✓!�►c.�,�.,,� ZIP: i1l 5 S�'� STATE LICENSE: # ?��y38 Dy2 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure Addition Move RemodeVAlteration� Land Alteration PROPOSED WORK(describe in detai�: T'E1q�,-�,�p- � �'c�'�� STORIES: �� SQ. FEET OF EACH FLOOR: /SJJ� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�d v � I hereby apply for a building permit and I aclrnowledge 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. APPLICANT'S SIGNATURE: DATE: GI�3o�v�J