2004-P08197 - windows - Laserfiche WebLink

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Tota'i Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 3(,og s To cl 0 C�o acl ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes R No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: I l d ul r) V an '\ 01 K 4ZPHONE: (home) Z (work) MAILING ADDRESS: 1 -1 _5 T on kA 1�a j )e� CITY: -i c v�� ,/ ZIP: 5533/ CONTRACTOR: n ,,",e.✓L LQ.t- `l Lam) �'l Q'-� PHONE: -7 L3 - i - ? -4 g� CONTACT PERSON: VL -�e�I MOBILE/PAGER: �e 2-- 3`1 -`2 t 47 MAILING ADDRESS: t 4?4S ')-2-54`' a h w CITY: �I k►2� _ ZIP: 5s: �O STATE LICENSE: # 20004 i O O ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# r TYPE OF WORK: New Accessory Structure re Addition Move Remodel/Alteration 7` Land Alteration PROPOSED WORK(describe in detail): ��k STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 15"V- cO 1 for a building permit and I acknowledge that the information above is complete and accurate;that the I hereby apply o g p g p , work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with the approved plan. Ics:—� APPLICANT'S SIGNATURE: DATE: