Laserfiche WebLink
L.-m <br /> Total Fee: $ (3 g. Date Received: 5.//- <br /> Entered By: C'l/t, Permit#: /908-7/_s— <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) <br /> l/ OWNS R CONTRACTOR <br /> JOB SITE ADDRESS: __S-7 /U (,iV17.`u22 )rzi ) /g/t..) ZIP: <S-�,<, K <br /> Will this be a grade of Homes,Remodelers Showcase Home or other Display Home? <br /> nYes 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: Ø1I(3 p7-2,e PHONE: (home) "ca-,),q,---/5�1 <br /> (work) 9.S-,.).- 7 3d_"300 <br /> MAILING ADDRESS: Si it).10:))QtA) pc CITY: bpi:~ ZIP: SS-�s-y, <br /> CONTRACTOR: PLL/,`e Be() e )I PHONE: ,K:21-.)..41442-1.5 d. I <br /> CONTACT PERSON: p)„, 11;,, Tef kC/ MOBILE/PAGER: g J�- 735- 0es- <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: So.w'-e 1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 27 X pt.,,' ,C'Dt,.v-\a (eve. 1 } c1 - <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Si O/)c). ' <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 /> �j�r � <br /> APPLICANT'S SIGNATURE: ��'� 6� -i.�G f TE: (.76-/A- --5-- <br /> , <br /> G// -5-- <br /> 31 <br />