Laserfiche WebLink
� � �3 . i� � <br /> Total Fee: $ I �� Date Received: �-�- �� <br /> Entered By: �r Permit#: ,�} /p/�'a. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirtt all information) <br /> -- - -- <br /> ____ . _-------._ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR � <br /> �_ .��___ _---- _ <br /> JOB SITE ADDRESS: ��:�� � S i��Gc C]'C-, �--;.�J � I�'�I ZIP: <br /> < <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ❑ NO If yes, a specia!even!permil is required with Police Department and�'ity Cozrncil approva/ <br /> 60 days prior to fihe event. Shzr�tle bus sen�ice i+�i/1 be required un/ess app/icant demons/rates <br /> su�cient on-site parking is availab/e. Non-permit�ed even�s i��iA not be a/loi��ed. <br /> NAME OF OWNER: - C��'�C'/�' � ��' ����_ PHONE: (home)� � � �( �� � 1 G'��( <br /> /� j (work) <br /> MAILING ADDRESS: �N� �� �� �l�7� �W��'-�ITY: �i'����J';.� ZIP: <br /> CONTRACTOR: �� ��►`£_' ��'�•��� �l'�'�.� PHONE: l�I �� � ��� =�1�� <br /> CONTACT PERSON: v�a.-`� �tn.S�+ MOBILE/PAGER: � � 1__� �� �'C��-'��- <br /> MAILING ADDRESS: � ( o j� S ;�.;� .� CITY: �����l � ZIP: . �. 3 ��� <br /> STATE LICENSE: #��f�'r� �; �/� EXPIRATION DATE: ?��- J 7 <br /> ARCHITECT/ENGINEER: �, � �w�-�:a V�N`.,f�7�� PHONE:��� ` ���z '3.�..� �% <br /> MAILING ADDRESS: ` �'C} � �✓1t �tt��! '!. CITY: ^f` �r�"'��c�rf�ZIP: �� 1a ��i I <br /> NAME: ���;,� ►�� •,�c �j�'�''`--- REGISTRATION: # ` -- ^ <br /> TYPE OF WORK: New Home Addition 1.�� e ��� Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: " �L��� � -f�> =�'��- � <br /> � / <br /> _ "��0,�L _ bv�l'l'�7ve � ''1 �Jv � a 'a �v �'- Q ��.� '�'��''J" �-/���i2� ��).�r <br /> —:.�r. <br /> STORIES: � SQ.FEET OF EACH FLOOR: �.�%� ��� ���G� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> % <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��.•�� -� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ;��` ZS ` �(� <br /> �`�--- <br /> 31 <br />