Laserfiche WebLink
` Total'Fee: $ j�� 3 S'�/� Date Received: <br /> � Entered By: � Pemut#: i 15(� <br /> I CIT'Y OF ORONO — BUII�DING 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 CONTRACTO <br /> JOB SITE ADDRESS: I'�zs �o�►J� Po►�rr F��Rn Z�: S5 3q I <br /> i�l/�Y zpT�. , i�t r.( <br /> NAME OF OWNER: I,�l i��t A t�-( ��FT' PHONE: (home) �}7 Lo- �SZ2 <br /> (work) �r3 7 -5�9 C. <br /> MAII,ING ADDRESS: JCo�O IVo 2r�t2 ►n�.,� p�e CIT`Y: W 4'�F-7�t ZIP: �'' I <br /> GvYZki� <br /> CONTRA.CTOR: C��R�tS Cul3Y� Co. , L.�..C. , PHONE: (r�IZ - 333-_.�oZO <br /> CONTACT PERSON: T.��t.�.t �oNt��K MOBILE/PAGER(��I z - (olio- 3 s3o :'�� <br /> MAILING ADDRESS• -� --' <br /> • � s Ma��K�t-' ST. CITY: /�iiNNe-q.poc.— I�IP: 55405 <br /> STATE LICENSE: # zo1354�4 . <br /> A.RCHIT'ECT/ENGINEER: �dg�tT Lu►�0 , f�SSeG. PHO�TE: �b1Z) GZ7- O1v80 <br /> MAILING ADDRFSS: �},Bz9 E C�+KE l�l�+r2�v� PKwY, CITY: Mir���Po�.�s ZIP: SS o <br />, NAME: �O,�T 1 �. ,�o REGISTRATION# zz soo <br /> �:. � <br /> TYPE OF WORK: New �/ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �on�v S , Fou�uva77o�c,! , �rzA-�in�U, <br /> � � ,,� v c.Ez. L <br /> . u.� Zo 4 <br /> �) sT 37�+� <br /> STORIES: Z SQ.FEET OF EACH FLOOR: z N o Q4�� <br /> NO. OF REDROOM�:� - fa,°:` :�- G-A��A�E�sTA�,L�: AT'T. 5' DET. c�_' . i <br /> + , . . '):-!° �n . � 9' . ��t ' ! •°.j. � . . ' � .. . .` . . ' <br /> �. i � <br /> FSTIMATED COiVS1'RiJ�;TION`VALUA'I'I�N(excluding land): $ j Z 8 S (o S� <br /> I hereby apply for a building permit and I ac'�cnowled�;e that the'informat:on above is complete�andr �� <br /> accurate; that the work.will�be in confonnance with the oid'uiances and codes of the City and,with : <br /> the State Building Code; that I understand this is not a pernut and work is not to start withouf a <br /> I :�- Permit; and that the �vurk vaill bP_in ��cer�?�c�._���it�'��he a�pr vecl plan. <br /> . . _ .. ,.. � Er ,. <br /> APPLICANT'S SIGNA'�iJRE: . �t�?� ATE= i Z- ��-9� <br /> NOTE! �Parade qf Homes events require separate permit approval by Poliee Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />