Laserfiche WebLink
� Total Fee: $ �05c� . ��� Date Received: <br /> Entered By: Permit#: �-�� �7�� �_Q'' <br /> , <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 IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: .�D,j'� ;sh�-�� «��3c,1 �� ZIP: �'S�y I <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 /> NAME OF OWNER: ,�i� L,�f-,�er-r�e r PHONE: (home) �sz-y�o--y�� <br /> (work) �i�-7�a�-o,s-iq C�/i) <br /> MAILING ADDRESS: �0,3� Si-ir��u w�,��j �2�I CITY: v;v,�c, ZIP: ss;�y/ <br /> CONTRACTOR: s � 4r �v�l"/d PHONE: y�� -;3/30 <br /> CONTACT PERSON: � S�x• �-r, MOBILE/PAGER �� - �ic� -��q9 <br /> MAILING ADDRESS: 7�' 8'��q���- � CITY: , ZIP: S"�5 33L <br /> STATE LICENSE: # ���� <br /> CHIT C NGINEER: <<�r/ ��a ��,�¢z �, �� /�` PHONE: y�;3�— 'S'S��ll� <br /> MAILING ADDRESS: S�6 y� f%��r SP:=�`��<, ��) CITY: ��-/.�j9 ZIP: S S 3�/S` <br /> NAME: La r I� �,-�.a y��;�f z REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration�,_ Land Alteration <br /> PROPOSED WORK,(describe in detai�: ��d o �d��� �i n e ; i�"� ,p��C� u��r�cluw5 <br /> j�'��P%cr c� S���'i�4 <br /> STORIES: � . SQ. FEET OF EACH FLOOR: �S� <br /> NO. OF BEDROOMS: 1-�- GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � $�p�}Q <br /> I hereby apply for a building permit and I aclrnowledge 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 without a pernut; and that the work will be in accordance with <br /> the approved plan. <br /> � <br /> �1/ <br /> APPLICANT'S SIGNATURE: L DATE: _ �'`� � � <br />