Laserfiche WebLink
01108l2007 16:48 FA� C�001/002 <br /> t <br /> Total Fee: S oZ • � Date Received; �-/� -�,7 <br /> Entered By: Permit#; /p��� <br /> CITY OF ORONO � SYJ'YLDYNG PERMIT APPLYCATION <br /> All information must be submitted in full before plan review will be started. <br /> (Plea�e print all dnformatiun) <br /> THE APPL�CA�iT�S: (circ[e one OWNER OR CONTRACTOR <br /> JOB SITE ADDRESSc �� � � SP Q��� ZIP: S 3� <br /> Wilt this be a Parade of Y�omes, Ytemodelers Showcase �ome or other Display Home? <br /> ❑ Yes �NO !f yes, a special evenl permit is required with Police Departmeni artd Cily Council approva! <br /> 60 days prior�o rhe evenr, Shurlle bus servlce wil!be required unless applicar,r demonsrrqtes <br /> suffcien�o�-sire parkirtg is availr�ble, Non permitted events wrll not be allowed. <br /> NAME OF OWNER:�GTT ��� �/�N�/� PHON�E; (home) 6�Z �O_!'��,� <br /> work) <br /> MAILINGADDRESS; �oD�-� �R�a��CITY: �M�(1 Y ZIP; <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBXLE/PAGER: <br /> 1V[A�LrNG ADDR„ESS: CITY: �YP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: pHOl�E: <br /> MAILING ADDRE5S: CYT7C: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Additioz� Acccssory Structure <br /> Move Home emo e lteration (ie: 5iding, 'Windows) <br /> Any easth movement ire MCWD review �nd �ermits! <br /> PROPOSED WORYC(descrtbe in detaan: �� I� ����@, �Q {�Q,w <br /> wltihows �i�-�1�� <br /> STORIES: Z SQ,FEET OF EACH FLOOR: �dD ��� <br /> NO, OF BEDROOMS: 7... GARAGE STALr,S: ATTACHED�iDETACI-TED� <br /> ESTYMATEb CONSTRUCT�ON VALUATION(excluding land): $ �� <br /> T hereby apply for a building permit and 1 acknowlcdge that thc infoiTnation above is eomplete 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 1 understand this is not a permit an ork's not to siar�without a permit;and that the work will be <br /> in �ccordanee vvith the appro�ed plan. <br /> APPLICANT'S SIGNATURE: DATE: I � '' � <br /> ��,�,1� s Y� <br /> 3 ,� ��e <br /> �,,��"1''b� ��.� - �Iv.�-���� �� �� ,�, � . <br />