Laserfiche WebLink
Aug-11-2008 02:38pm From-CITY OF ORONO +8522404616 T-717 P 002/003 F-600 <br /> Total Fcc- $ l DD 4 Date Receno <br /> I b <br /> Entered By <br /> (� Permit a: -Z>a 9 <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 CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ yes ❑ No lfyes, a special event permit is required with Police Department and City CouneU approval <br /> 60 days prior to rhe event Shurile bus service will be required unless applicant demordrrates <br /> sufficient on-sire parking is available. Non-permitted events will not be allowed <br /> PHONE: (home)_250' <br /> NAME OF OWNER: (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> Renewal By Andersen PHONE: <br /> CONTRACTOR: 1920 County Road "C" West AGER: <br /> CONTACT PERSON: Roseville, ;V N 55113 ZIP: <br /> MAILING ADDRESS: License #20130983 <br /> STATE LICENSE: #1 651-264-4777 pA�i" <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: --�ZIP; <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hoene Addition Accessory Structure <br /> Move Horne Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCwb review and grmit8! <br /> PROPOSED WORK(describe in detail): !A0NQt � •S -ice <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMA <br /> TED CONSTRUCTION 5/VALUATION(excluding land): $— O(4 k 001 <br /> - <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: 6ATE: <br /> JLQ%_Q1 <br /> 31 <br /> z -d 0619t►G9TS9 301A43S 11WN3d a I S M ss :21 600E 11 2nd <br />