Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
Tota-i Fee: $ ` ! !' b DateRe 'v • �/ T �U <br /> ce� cd. <br /> Entered By: Permit#: �� � �(,`�� <br /> � <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S ❑ NO If yes, a special event permit is required with Police Departmen[and City Council approval <br /> 60 days prior to tlze event. Shuttle bus servzce�vill be reguii�ed unless applicant demonstrates <br /> sufficie�it on-site par•king is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: 5 �9��i' a, ���-� '(�10 r r�s,,.-,PHONE: (home) �S o�- y y 7 -0101 <br /> (work) (�1c�� SOS �9 y7(� <br /> MAILING ADDRESS: I S a,� �1� �v.�c. �/, CITY: Ov��fl ZIP: S" - S <br /> CONTRACTOR: _�A Q. �x�Q� 1 a� �-L�_ PHONE: (-,S I ^ y5/ -33 �6 <br /> CONTACT PERSON: (Y��\,c� }-Iq,�.�,�_ MOBILE/PAGER: �� � - `�7 S- 3�3 <br /> MAILING ADDRESS: _�S 3 �..�Jl�c.� ,o�;�� '�,�- CITY: S •S_ �P- ZIP: S SO�S <br /> STATE LICENSE: # ao 6 ��o � �� EXPIRATION DATE: 3 /3 1 /a��? <br /> s�w,,�,,, ?,t,p l� A c3'x r. 4�z -Y Gt a-3 5..� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition ,�C Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �X !,, .��A._ ��1�,..� /s� <br /> � ���� � <br /> �^w� '��vob�-� �_..�.. �c�i ti.,,,.. l ' ��_� /(�' ,/_� ' �i-t�p <br /> STORIES: o� SQ.FEET OF EACH FLOOR: a (�, S ;� F �-. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $,������ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;tllat I understand this is not a permit and k' not to start without a perinit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: /�� DATE: `� l �"c7� <br /> 31 <br />