Laserfiche WebLink
Total Fee: $ ck- Date Received: 02-isu-05-- <br /> Entered By: 7 Permit#: A bg YS' <br /> y1,-y33 2'12 <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: )7 5 sex F),-V /2 /2 ZIP: ..H`)' ! i <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> n Yes p' No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: /7)Q i /?o YV2 PHONE: (home)%V-Vn --oc.z2 <br /> (work) <br /> MAILING ADDRESS: 3 )`) .s ' h S3 G y I? / CITY: `'i7/.1c ZIP: r�,3 <br /> /1 iv<z <,� 5 <br /> CONTRACTOR: �Git��� /��' ' /14 C.c / `�J �� PHONE: l�'�/7 ���' 2 <br /> CONTACT PERSON: J 6'/x/2 ,7 C / - MOBILE/PAGER: 6/2 t 3 - <br /> MAILING ADDRESS: >Y- Cl /c) /0/ CITY: 127or;X;- ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:, PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: \ REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/AlterationA' Land Alteration <br /> PROPOSED WORK(describe in detail): )11 C.)4/7 1Z--4,c lic /424, %f <br /> STORIES:- SQ. FEET OF EACH FLOOR: .Z-?1-6 <br /> NO. OF BEDROOMS: S_ GARAGE STALLS: ATT. y/ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ - � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to st without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: -f V -� ; ' ?�sZ i DATE: 00,5.7 `) <br />