Laserfiche WebLink
o / c. '8 <br /> Total Fee: $ J Date Received: <br /> Entered By: Permit#: 1/00A-3/6,/ <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 OR��CONTRACTOR <br /> JOB SITE ADDRESS: /C24;2\ %/ic tr'7/ I. L),2 ZIP: S S 3S <br /> Will this be a Parade of Homes, 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 /> be allowed. <br /> - <br /> NAME OF OWNER: gl-r- 1/2"/ 11� PHONE: (home) '17, - S9 7.7 <br /> l (work) 64 z • 32 <br /> MAILING ADDRESS: /422-Y"- 2 //a)" "7' CITY: ©, C)ti ZIP: SSi <br /> CONTRACTOR: 1-?Qf.i 7 bf ge, PHONE: 6S7- ''f l7- /3 <br /> CONTACT PERSON: 7-f�Y�/ MOBILE/PAGER: /2- <br /> MAILING ADDRESS: E ea,-rcac 4 -.,s-vA aj CITY: Sr- ZIP: ;n 7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New —T Accessory Structure <br /> Addition jC Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): co )&/7 /Ss 5'4-1-1)-1-1 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): 20/050 <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: Lc-.� '/ DATE: `7/✓ V <br />