Laserfiche WebLink
�J c� 'nti` r �`�e1 J 11l/e'Y� � l'�„-^ <br /> � � <br /> Total Fee: $ � � ` Date Received:� U�% <br /> � �= Permit#: '}c''=� �-J <br /> Entered By: � �=+ `� ' x _ <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�nforrnation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �:� .' �' ` i��-rl/,�� � �✓'e- ZII'� �' =5 �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 0 No !f yes, a specinl event pej�mit is requi�-ed with Police Departrnent and City Cot�nci/approva! <br /> 60 days prior to the event. Shuttle bus service�vill be reqi�ired unless applicant denzonstrates <br /> strffrcient on-site par•king is available. 1�'on-permitted events tivill not be alloived. <br /> NAME OF OWNER: ��i �` r T�' /��.��.-;��^`� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: .2�'rC.` ,��_r '.�i� - �:��' CITY: ,��fl�fn ZIP: �''"� �' ! <br /> CONTRACTOR: :,�.�F .i � /�•.-�./� � :-.,, PHONE: �,�. ,� ,,� ... �;'i <br /> CONTACTPERSON: ^/o;-.� �t/, ;,�•% � MOBILE/PAGER: <br /> MAILING ADDRESS: ��/ �s �� � .��.1.,�� CITY: /����S r ,,�u ZIP:S S;;� 3 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAI�,iNG A���SS: CI'7'Y: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home ,✓,� Addition �/�1 Accessory Structure v�.fi� <br /> Move Home ,�-q Remodel/Alteration (ie: Siding, Windows) ,-✓2//� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detcrin: ��;���✓s �-.,,�,;��; ,r y����s l�°� <br /> �'r�,,�c ,�l�t:��c+,�o i'E'�e <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHEI) <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ s^.L:,���� "� <br /> , <br /> [hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work will be in confonnance with the ordinances and codes of the Ciry 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 /> .•: <br /> ,, �- ,�. <br /> APPLICANT'S SIGNATURE���-��.�---�- �_ �r��"�.... DATE: ,��y��� <br /> 3t <br />