Laserfiche WebLink
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) COWNE11)OR CONTRACTOR <br /> JOB SITE ADDRESS: 6.22 {�� Webb eV. /74 (C ne.f ZIP: 555 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ,g 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: Deif?Vl 5 PCf n Ze PHONE: (home) 95-kelY9 i; 7 <br /> �(work)957—5Y SS�. /MAILING ADDRESS: t 6: h , ZIP: X 3 qZ <br /> CONTRACTOR: 1,v he" PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: NO n..e 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) 1 [ / <br /> PROPOSED WORK(describe in detail): Peivto-e ex['?1-7 f h 5.1L '( <br /> nom: c/ p( In <br /> STORIES: Ont.- SQ.FEET OF EACH FLOOR: 4,269,05 ,7,L <br /> NO. OF BEDROOMS: "T"Art,e GARAGE STALLS: ATTACHEM3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ UAD cX)� <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 penni d work is notto st.. without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: Ji` �✓ /y DATE: i U Ls5 <br /> 31 <br />