Laserfiche WebLink
A - RECEIVED <br /> 1 ,;A .y t FEB 0 2 2009 <br /> Total Fee: $-- 146L--1 <br /> Date Received: <br /> Entered By: Permit#: CITY OF ORONO <br /> rv3'—OOo37 <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 ( I NTRACTO' <br /> JOB SITE ADDRESS: 44-5 (A) tCIU .* RD . ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval <br /> '2 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. q� <br /> NAME OF OWNER:EFF i MPtA{ "P-t1L.L PHONE: (home) x-7 � /'.3" 1Z <br /> �A� <br /> "1, 11' �� (work) <br /> MAILING ADDRESS: 44-54.5 D CITY:t) X ZIP: 5.. 339 <br /> CONTRACTOR: lArkilaMCP L'CD• PHONE: .• Z <br /> CONTACT PERSON: MI MOBILE/PAGE . 2 "306,6 <br /> MAILING ADDRESS: 9' gm 13WQTY: : 5534 <br /> STATE LICENSE: # jfl2..- EXPIRATION DATE: 3_0? <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) yc <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Rcrpt4t- A3E ax(' lt ARCt r Real <br /> w rti4 L►t.lbawS i Frr5 . <br /> STORIES: 2. SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> em <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -711 <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 per it and work's not i -. .rt without a permit;and that the work will be <br /> in accordance with the approved plan. ' <br /> q <br /> APPLICANT'S SIGNATUR 0♦ DATE: 1'Ir 304:6 <br /> 4 LOWLD U - - elJuE, zA /09 <br />