Laserfiche WebLink
66J2G120fl8 00:92 16516866606 IMPRESS 6 40FFICEMX PAGE 62J64 <br /> y/ ° <br /> �� � � <br /> � <br /> a5 <br /> To�i��: s d ���a: a5�8 <br /> E�atered By: Permit#: � <br /> CITY OF ORONO- BUII,DING pERMI'�`,A,ppLICA,TION <br /> All informatio�must be submitted in �all before plan review wiiil be atarted. <br /> (pi�ase,prrr�t a!!uiforn�ation) <br /> __.,._ <br /> � <br /> THE APPLICANT IS: (ci�cle one) OWNER O CONTRACTO <br /> JOB 8�,1'E ADDRESS: �;�I� c�� I�..SOC� � �[P: ��� <br /> Wili this be a Parade o�'$omes,Remodelere Shuwcase Hoime or other Di9play Home? <br /> ❑Ye� �No Ifyes,a spccial evern permif is required witfi Police Dsparr�eht and Ciry Cour►cil ypprova! <br /> �-� �; �� 6!1 days prlor to the everrt, ShultJe bus servic�will be rpqrr�red w,less ap�pli�mt a�,no�,sdnres <br /> r� � s�icient orr-site pra�king rs available. Non-ps�„eitt�d everrts will nor bc allmved <br /> �Ty�rr� <br /> NA1b,�E OF OWNF,R:.- �nh� P� ��orr�: m.o� -Ot� <br /> y� <� ��y� c� — ^� <br /> MA�,II�TG ADDRESS: Cd���-T'��'���"��T��(��� ZIP: <br /> CONTRACTOR�I'Yl SC�I�CL7Z�� �Y1.� ���: (Z� Z' <br /> � CON'�'ACT PERSON: '" MOBILF.I�AGER: <br /> MA1LIIVGADDRESS: C,[T�C�6L���l�l.l�l7�: ,�'�I ( <br /> STATE LICENSE: # '1� EXPII2ATION DATE:�^L, p�'-t ' <br /> ARCHI'�C"TlENGaNEF1t:�i Cl�'Y11�1"(P�1 .�ArONE: <br /> h�i�!►ILIl�iG ADDItES3: CTI'Y': �P: <br /> NAME: REGISTRA�ON: # <br /> TYPE OF WORK: Ne�w Home Additi AcoessoTy Structur� <br /> Move Home emodeUAltezation : Siding,Windows) � <br /> Any earth movemeat may requi.re MC�TD review and pexmits! <br /> A PROPQS�.D WORK(describe�n da'ar�:�'17? U 1�5 ��..s ���p �f`S <br /> Td � <br /> STORIES: SQ.F,EET OF EACH FLOOR <br /> NO. OF BEDIi00M3: GARAGE STALLS: ATT,A,,CHED DETACHED <br /> �S17MATED CONSTRUC'�ON VA�LUATI4N(excludimg lsntn: S ��QL�� <br /> I heceb�'aPPIY for a building pennit and I ackn.owledge that the infanriation above is ca�mplete and accurate; <br /> that th�work will6e in eoaformance with the otda�nces a�d cod�s of the City and with the State Building <br /> Code;that I un�d tbis is�ot a pe�nmit and work i�nat to start wit]�out a permit;aod t�at t'he yvotl��,y�ll be <br /> in accordantce with the appmved plson. <br /> AP'P�iCANT'S SIGNA,TURE� DATE: <br /> , � <br /> �C� ��(L"�'�'CIJ1J'7 . -�SS�Gj <br /> �l.t�N �'1T��� -����7 ��1P►�t� (,�(Z-�1 (�-�57� <br />