Laserfiche WebLink
, , ����� � � <br /> � <br /> ,$ 1 , <br /> Total Fee: $ oZ�1•O 1 Date Received:�?,,.����_ <br /> Entered By: Permit#: �//,2�58'T <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��c�U �_��� � Zjp; �� <br /> O ►^ �.-�v <br /> Will this b a P rade of Homes, Remodelers Showcase�ome or other Display Home? <br /> ❑ Yes _O 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 /> suff cieni on-site pai•king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �� � �.1Z C7 L�'l.� � PHONE: (home) ��Z_c�7�-5'6 l,tS' <br /> (work) (o� Z - �`'3��i � � �y`� <br /> MAILING ADDRESS: �7 �.v j�� ��5;��e � CITY: ()�O1 i� ZIP: 3S <br /> j-t,�}C- �tSZ-�(72-5�'70 <br /> CONTRACTOR: J I,v v��/}L(-���<<��L��J.i l n PHONE: _��p/ Z-S��J� Z(ci J <br /> CONTACTPERSON: �j�rr/j„/ ��js��^� MOBILE/PAGER: �c„-� C <br /> MAILING ADDRESS: �v�, ,g,�� � �T- CITY: /�o�:�� ZIP: S� 3� � <br /> STATE LICENSE: # ���Z�v EXPIRATION DATE: /�?c�rc � U<<' <br /> ARCffiTECT/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) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: � I ` z � ��� <br /> ' %/` ' c'�r i� �cX� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��QD � <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 /> APPLICANT'S SIGNATURE: �/'�2���,_- DATE: 7- Z�-o � <br /> 31 <br />