Laserfiche WebLink
Total Fee: $ � �.(��2 . Z Date Received: ��� '�� <br /> Entered By: _C�11� Permit#• ��(����(o <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- � <br /> THE APPLICANT IS: (circle one) �NER'OR CONTRACTOR <br /> . n <br /> JOB SITE ADDRESS: �( 7���, �v.ur U- �� �/l� 'v�- ZIP: _�S 3S � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonst ates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. �1l����� <br /> � / �� ?�� <br /> NAME OF OWNER: �'"�,f� 1 r�,�,� �U�i-�i�L'�ce PHONE: (home)`15��(73�( �,57 <br /> (work)�1�Z77�f9�t(J � <br /> MAILING ADDRESS: ��7S �,�Iver V�r^�„ �/,��e CITY: Cr/i/v�� ZIP: S S <br /> CONTRACTOR: !'�/!`� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 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/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WO K(des ribe in detai�: r r.� Fx��n s '�. _ ��31�,�, �2r��f��� <br /> i n.� �{� � U �C �� �� <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��JK'. I �v`' i�c;� <br /> NO. OF BEDROOMS: ��{ GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '��L L� <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 ofthe 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 /> , <br /> APPLICANT'S SIGNATURE: � ' DATE: G� � � <br /> 31 <br />