Laserfiche WebLink
y <br /> w <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 /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: \O q q ZIP: 5 5 3 5 6 <br /> Will this be a Pade of Homes,Remodelers Showcase Home or other Display Home? <br /> [:] Yes ®No !f yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bits service will be required unless applicant demonstrates <br /> sufficient icient on-site parking is available. Non-permitted events will not be allowed. <br /> NAMEOF OWNER: G . C s PHONE: (home) '15 2-47 3-573 <br /> (work) uta-t.3o-11o1 <br /> MAILING ADDRESS: CITY: O r ony ZIP: 5 5 3 5 cfl <br /> CONTRACTOR: D-e118 e, G o s-�`�•c �� PHONE: q 52-4Lia - 3o a o <br /> CONTACT PERSON: 6^-,, MOBILE/PAGER: 9 5 2-Z 3"1- 00 bel <br /> MAILINGADDRESS: lasbn goud, , s4 N.t CITY: P,,�, L.L,. ZIP: 561-77— <br /> STATE <br /> 53'►LSTATE LICENSE: # Z e- - I Lo 131 EXPIRATION DATE: 3 5+1'2 o o b <br /> ARCHITECT/ENGINEER: N I,4 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): qe - r'a-,s F r ��41e - G��• �-3-,r. /�!l�ct�e <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ &6, 'IbO <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 d work is not to start ithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 9 Li 6S` <br /> 31 <br />