Laserfiche WebLink
r <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 CONTRACTOR <br /> JOB SITE ADDRESS: 2TF �Y 40 <br /> 9V vJ 1r0ZIP: 15 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes p No 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 /> NAME OF OWNER: �� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��CITY: O`'o"� ZIP: Cj '50 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: CU? .3 z <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 20�i1 5(at► ' EXPIRATION DATE: 313110-1 <br /> ARCHITECT/ENGINEER: �;� PHONE: &r2 -3Z� --s�vo <br /> MAILING ADDRESS: IN7o3 clm'..J' -%'\ N Alain CITY: L*iu a,,o ZIP: sSo z <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) �. <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): <br /> STORIES:�_ SQ.FEET OF EACH FLOOR: I ALO <br /> NO. OF BEDROOMS: `� GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ F7(�t� <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 a ork is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNA DATE: T�Jd-j <br /> 31 <br />