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 ones OWNER S R CON RACTOR <br /> JOB SITE ADDRESS: e7S0 C.)-; Lk,/ `60 , (f`l ) ZIP: J <br /> Will this be a Parade omes, Remodelers Showcase Home or other Display Home? <br /> Yes No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> allo d. �� <br /> _, c <br /> NAME OF OWNER: //,`-i /` -0---V/ /1 PHONE: (home) gry0F6 <br /> work)MAILING ADDRESS: ,2 72() CITY: O ZIP: , MT <br /> CONTRACTOR: LA) vl. PHONE: ^D iti , c• 6 v•-Q_. <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 0 i � PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK descri in detail): - / , a- „0, 74� <br /> _` A/' b 8 `rJ ari'!� eire 6 ,IV' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ e c)d,E) . OO <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: 4 - DATE: ?^02 L( <br />