Laserfiche WebLink
. . <br /> ,�, l, 'J <br /> Total Fee: $ /v�{ � Date Received: LD'-2��'O�� <br /> Entered By: 'INt� �� i i��.�r`; ���'' Permit#: ��? •'�(;�`j� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT [S: (circle one) ` WNER QR CONTRACTOR <br /> -��J <br /> JOB SITE ADDRESS: Z3 �s �i'`'��c�vi/z>c���7 /-� �IP: �-S �.5�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � Yes � No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> � <br /> NAME OF OWNER: �/�'G�/� - !f'/�S�U PHONE: (home) �S Z Y7�2/J�J <br /> (work) 6/L 3$L-�QU� <br /> MAILING ADDRESS: 23-�s ;���,Z�U� �2 CITY: ��L�,4; ZIP: �� <br /> CONTRACTOR: �'`.�L�//��� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENG[NEER n�j/d�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition Move Home <br /> RemodeVAlteration <br /> PROPOSED WORK(describe in detain: �/�-� <br /> STORIES: /�1 SQ. FEET OF EACH FLOOR:�_ <br /> NO. OF BEDRO MS: � GARAGE STALLS: ATTACHED�� DETACHED �1 � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����U � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the 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 witho t a ermit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��Z�`D( <br />