Laserfiche WebLink
Total Fee: � Date Received: � r3 U� <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 informatioiz) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3�� ���`� �,t�� Wp�/Z�i�i ZIP: � � 3 � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO !f yes, a specznl evenl permit is r•eqa�zr•ed tinith Police Departrnent and City Cozrr�cil appr•oval <br /> 60 days prior to the event. Shuttle bus service wil!be required z�nless applicant de�r:azstrates <br /> su�cient on-srte parking rs avnilable. Non per•nn�tted events will tvot be allowed. <br /> NAME OF OWNER:�tpw'�A�'�J lj,�uvhl�v� ��`�� PHONE: (home) l �Z �7/—b% �3 <br /> (work) <br /> MAILING ADDRESS: 3`�Sv �[IZ�N �^� CITY: G.l,Dy'Z,o i� ZIP: 5�39 ( <br /> CONTRACTOR: �I AS � �!��^l �l�• PHONE: �7 � Z��U( �3Uv <br /> CONTACT PERSON: U i�� �p MOBILE/PAGER: F,l z-363-3��?O <br /> MAILINGADDRESS: ��5'3� irl-�����° i�U1n_ CITY: �c-�C�-LSjo�-�. ZIP: �33� <br /> STATE LICENSE: #�� � EXPIRATION DATE:�3 v B <br /> ARCHITECT/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 detain: (�— �A� ��,d S�)�w� Q R i}�_ <br /> l �) U'��') %� /�� � t'���� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �SZ- v� � <br /> I hereby apply foc a building permit and I acknowledge that the information above is complete and accurate; <br /> that tile�vork���ill be in conformance tvit��.t�e ordinances and codes of the City and with the State Building <br /> Code; that[ understand this i fiot a ermit an vork is not to start without a pennit;and that the work will be <br /> in accordance ��ith the app o�ed �all, , <br /> ___ �____._____------_- _ � � (�� <br /> APPLICANT'S SIGNAT DATE: <br /> � <br /> 3t . <br />