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) OWNER O CONTRACTORT <br /> JOB SITE ADDRESS: iq(C7 C) W� �u, ZIP: 3 <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o Ifyes, 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 allowed <br /> ermitted events will not be <br /> NAME OF OWNER: Do•, /J`,vu(1 S S PHONE: (home) 76- 3 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: AelVaAe-g2 j c S PHONE:763+ X37' I( 7 <br /> CONTACT PERSON: -ka.a. MOBILE/PAGER: <br /> MAILING ADDRESS:?©oo S7+n Awc- CITY: GYs— ( ZIP: 5'- - <br /> STATE LICENSE: # (20 13'3D-1•-1 EXPIRATION DATE: 3- rq <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) \c <br /> Any earth movement may requiD re 14(c review and permits! <br /> PROPOSED WORK(describe in detail): Tai <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $70 <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 , •rk is not to tart without a permit;and that the work will be <br /> in accordance with the approved . .n. / / <br /> APPLICANT'S SIGNATU' : �w _ / DATE: q' <br /> 31 <br />