Laserfiche WebLink
s <br /> 1� <br /> Total Fee: $ IoM- b Date Received: 74 (� <br /> Entered By: Permit#:42300$p0L73/ <br /> /4 /a a-7 / <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) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �l) t�°ZTl�G�J!'t ZIP: <br /> Will this be p Karade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ANo 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 /> C 0 <br /> NAME OF OWNER: blc�v t l� 5 4 J��p+� PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: aid t,J rt��vw.n CITY: -d�e,.d ZIP: 5--5 3 S�, <br /> t9 ra �.o <br /> CONTRACTOR: LAPP'4- PHONE: <br /> CONTACTPERSON: Y►'M1k.c. Sr��aF�.wuar S MOBILE/PAGER: Aja- 3o g- (° <br /> MAILING ADDRESS: 5-i/S ~° 3-AS�c g/ CITY: �h -�'l��ZIP: SS 33 <br /> STATE LICENSE: # mo o 'ji 6 o EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ��� �hKiw�- �h PHONE: ?b 3 - -7V0--9-00y <br /> MAILING ADDRESS: CITY: %hG ZIP: SAY-f5 <br /> NAME: Lrr y 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): 4 9�,1 x <br /> STORIES: ) + P41 L SQ.FEET OF EACH FLOOR: dwY 5�, 5 ro� �'L �(p <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 60, noo ,00 <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 /> -)de;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> ^ordance with the approved plan. !/ <br /> ANT'S SIGNATURE: DATE: 7 b 13 <br /> 31 <br />