Laserfiche WebLink
u c'9 <br /> Total Fee: $ Date Received: e4 b <br /> Entered By: IOPermit#: '2..// ¶'C <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 CONTRA j�,j <br /> JOB SITE ADDRESS: 9 1 1,✓t LLo W ; Z ty t2 ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Wio 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 he required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER:..r:Ai i Q rambilk. L,.,,{'OVA; PHONE: (home)I 52, 73. O it <br /> _ 4., ‘t_ tC�vork) <br /> MAILING ADDRESS:/57 Z� TA/1)1 FQ LA CITY: ZIP: .5 53 <br /> CONTRACTOR: 3 ize.,,,,5i{CL L \4 Mt PHONE:9 S?, 'i f(o , / ?ail <br /> CONTACT PERSON: r MOBILE/PAGER: 'S 2, ado ,96'64_ <br /> MAILING ADDRESS:614;)s'"Z witi_4743 sr CITY:& eo...i c+et'riv9ZIP: ,S 5 3-5-- <br /> STATE LICENSE: # (.-Z in 3'(i S 2 EXPIRATION DATE: - <br /> ARCHITECT/ENGINEER: 0 F P, PHONE: 3. 1-V. S-00 q <br /> MAILING ADDRESS:' /or 6iv..1-1 M.op CITY: 3 c i1/4.7.- ZIP: SS''y f J <br /> NAME: C, REGISTRATION: # j Oi 09 <br /> TYPE OF WORK: Newer-- Addition Accessory Structure <br /> Move <br /> 1-1 Remodel/Alteration • <br /> PROPOSED WORK(describe in detail): f f aJ 40 M'l.7 y,,. L. 0" ) -i <br /> 5 / / <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: 2_22t( / /coo ' <br /> NO. OF BEDROOMS: V GARAGE STALLS: ATTACHED 3 ETACHED_ <br /> Q <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 5 '5i, 2/6 <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 • start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATUREle ----- <br /> r DATE: 44//r/".1..- <br />