Laserfiche WebLink
G �a 98•l0�`7 <br /> Total Fee: $ o� (0(P 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 OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 64y- <br /> Will this be P rade 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 prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> 0NAME OF OWNER: W PHONE: (home) 41-q2-1`1 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: J <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: vu MOBILE/PAGER: bj _-31(' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home a odel Iteration (ie: Siding, Windows) _: <br /> Any earth movement ay re ire MCWD review and permits! <br /> PROPOSED WORK(describe in detail): 1\1 ,u)�tI <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3, c v <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 /> 0 <br /> APPLICANT'S SIGNATURE: DATE: Iz <br /> 31 1 j <br />