Laserfiche WebLink
1 • <br /> Total Fee: $ ��+ � �� Date Received: �' �( C� �� <br /> Entered By: � Permit#: � �,3U� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prii�t all informatio��) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> __ . .._....�_, <br /> THE APPLICANT IS: (circle o t��`OWNER O � ONTRACTOR <br /> �___.-....___..z.�..._—�—� <br /> JOB SITE ADDRESS: 3��� QSf-/G,��Lf,v� �,C. ZIP: .S�J�9/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO lfyes, a special event permrl is regz�ired 1��rth Police Department and City Cozrncil approval <br /> 60 davs prior to tl�e ever�t. Sha�ttle ba�s service wil/be reqzrir•ed iinless applicant denaonstrates <br /> su�cie�7t of�-site parking is available. Non-pernzitted events will not be allo�ved. <br /> NAME OF OWNER: ����� � ° �-����i��E/L PHONE: (home) �s'� `���`-s'`�3 <br /> . (work) y��-5�7i—ZssS_ <br /> MAILINGADllRESS: ,���d S�-/oRfu�JE�,J/C� CITY: u�Ay�4rl� ZIP: S.�3�'/ <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDI2ESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Altecation (ie: Siding, Windows) i/"� <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in�letain: �,��� k'��� <br /> STORIES: / �Z SQ.FEET OF EACH FLOOR: %��o ���0 <br /> NO. OF BEDROOMS: �- GARAGE STALLS: ATTACH�D ✓ DETACHF,D <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ v2� �� ' U� <br /> I hereby apply for a building permit and I acknowledge that the information above is compiete and accurate; <br /> that the�vork will be in conformance with the dinances and codes of tlie City and with the State Building <br /> Code;that I understand this is not a pennit �ti�ork is t to start�vithout a permit;and that the work will be <br /> in accordance with the approved plan. ' � <br /> ; ;, , <br /> APPLICANT'S SIGNATURE� �, E: �— l� 0� <br /> , <br /> 31 <br />