Laserfiche WebLink
. ''.'otal Fee: $ /�5.��'� Date Received: �� ��- �� <br /> Entered By: ,� Permit#: ;L� �j,Z�5"3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> --' ;� � ,.� �.�-� ���s c.J���l�I� <br /> �l� f�X � �2� �p s���� <br /> All infor ati n must be submi d in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------- --------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNEl� OR CONTRACTOR <br /> _.� <br /> JOB SITE ADDRESS: � I J<������2� r rl t��� v� ZIP: SSS�y � <br /> NAME OF OWNER: `��s` Cv�� .t � �G�/��l- �1� PHONE: (home)�/1_ � `�__ '(�S G�� <br /> � <br /> ` (work) �/Z - �t ?�- ;��G,�' ; <br /> MAILING ADDRESS: ,��� 9�X ��G CITY: C�� �' ZIP�"�G. <br /> CONTRACTOR: J'rC Ve �r.vro � rtsSe�� �S PHONE: �n�Z� ���— �,��O <br /> CONTACTPERSON: �-{�Ve. �0�,2o MOBILE/PAGER: <br /> MAILING ADDRESS:��/�� C�SC.`D �!. �1�. CITY:(',�,J��t�,q-�-,q ZIP: ����I <br /> STATE LICENSE: # <br /> AF�HITECT/ENGINEER: ��Q�/(' S�C� ✓LO PHONE: <br /> M�ILING ADDRESS: �„q�v-�� < rR-,?�ov� CITY: ZIP: <br /> �;rLti�; REGISTRATION# <br /> '�TYPE OF WORK: New Addition Accessory Structure <br /> Move Rer�odel/Alteration Land Alteration <br /> .-�,�X �X `-5-r-cvt` 2`''4� S� "J , <br /> PROPOSED WORK(describe in detain: �n c�c�J2 - ,' - /�d� � <br /> � �4-�- / �� � ' � L, Lm ' w� rl�Gv C,�.l( <br /> �' -�v� <br /> ��.�-E' S %ZP� ; //�rl� �1f v,�rl S�� Y1 .S hr�J' S,� j��( <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pernut and I �knowledge that the information above is complete and <br /> accurate; that the work will be in conforrrdance with the ordinances and codes of the City and with <br /> the State Building Code; that I unde�st�d this is�ot A permit and work is not to start without a <br /> permit; and that the work will be ' a�cordan�;e Jwitn'�the approved plan. <br /> � . . . , ; ,� . <br /> , . , <br /> /' : _. . �; � , <br /> APPLICANT'S SIGNATURE: , i �� ` # • .��i • ��� DATE: ,`�` �: , : <br /> .; `: ;-: ���: <br /> '�_%` <br /> NOTE! Parade of Homes events requi�e separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />