Laserfiche WebLink
/ � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /Ja� <br /> JOB SITE ADDRESS: ?j O(o O G� �.D , <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is reguired wifh Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �/��S 1GO��K— PHONE: (home)(a�Z•LgZ •9 93�/ <br /> ,� L (work) <br /> MAILING ADDRESS: �J"��� G�/ !�D CITY: _ �j v 0 h o ZIP: <br /> CONTRACTOR: U(i�i n�c-� ,�2�S�1�A-�o� PHONE:7 L�3 -3�o -3'z-Z a <br /> CONTACT PERSON: G l�S /Gv5�i� MOBILE/PAGER: <br /> MAILING ADDRESS: �3S'ov Ur��S�v fy �r CITY: �1 y✓Korri f� ZIP: SS Y�l7 <br /> STATE LICENSE: # ?�S 3 C�r7 f3 L EXPIRATION DATE: 3� 3 � � o� <br /> ARCHITECT/ENGINEER: __�tJbns � 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 WORK(describe in detain: � pFF' ¢ /�- �d F <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (p ZS� � � <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 of the 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 /> APPLICANT'S SIGNATURE: ,� DATE: � Z� � 7 <br /> 31 <br />