Laserfiche WebLink
� <br /> r <br /> Total Fee: $ � - � � Date Received: 7 7 6 (o <br /> Entered By: Permit#:;�%�c?�'bj'�;� <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 O CONTRACTQi� <br /> JOB SITE ADDRESS: �i :� ��I� �,�U �Q , zlp: S��S� <br /> Will this be a Pa ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �O If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days p��ior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �12V L c= �1/��}�t� PHONE: (home) �!�Z� �d���f l� <br /> (work) <br /> MAILING ADDRESS: �Z � c,�ITY: ���N v ZIP: ��-,�5 C�, <br /> CONTRACTOR: �/1/► ,; ��'c-y�,y�;uvh ��;� K�r��,�y�' PHONE: �j z-`��p-G�Zb <br /> CONTACT PERSON: �p'� MOBILE/PAGER: <br /> MAILING ADDRESS: O e�,� i� � • CITY: ��C,y}D._, ZIP: ��/-z� <br /> STATE LICENSE: # Zd l�CoU'SC� EXPIRATION DATE: 3/?,�/o� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home ' "on Accessory Structure <br /> Move Home Remode Alteratio ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descf•ibe in detai�: �� Yz�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (D v�Do , -- <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: ��(D l� <br /> —��T <br /> 31 <br />