Laserfiche WebLink
Total Fee: $ /�-5-15 Date Received: .75 O <br /> Entered By: ---7�? Permit#: it) / &.. <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: Sp S Wei l;4 L.J LA&ZIP: 5-5-3.3-6, <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes No /f 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 <br /> *parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: R 1 LL ll A PHONE: (home) 9 col-L/13 /8 Za <br /> (work) 763_?53:o‘Nck <br /> MAILING ADDRESS: CO S Lt/eA Ln N CITY: ins to ke ZIP: 63-35-C, <br /> CONTRACTOR: h PHONE: 657377 '77 <br /> CONTACT PERSON: (L z f s (-Lap;r\ MOBILE/PAGER: (c75--/-934-// f3'-/— Y2'3a <br /> MAILING ADDRESS: 7 S., S l= ;y TIZL Sci ffd CI <br /> t TY: La�La,td ZIP: 5377.33 <br /> STATE LICENSE: # �c73-73/.5-3 EXPIRATION DATE: 3 `31 - Oq <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) X <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Te-A-C-O FF- - R L-RW t= t [i/9-F -r-p 30yrt <br /> 6e,el la s S SA' ,/e. - Color" — u.)000, <br /> STORIES: / SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED )C DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S y 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 /> 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 /> • <br /> APPLICANT'S SIGNATURE: DATE: S//.5P) <br /> 31 <br />