Laserfiche WebLink
�,d � , <br /> �e' <br /> , V�` - <br /> � i <br /> Total Fee: $.5� ,(�� Date Received: � ��� /Cf <br /> Entered By: ��YY� Permit#: ,f - r <br /> _�/s; � <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)� .tJWNER 0�CONTRACTOR <br /> JOB SITE ADDRESS: i r�6 a �a j�/ ��;- �y �� ZIP: .55 39� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes-�10 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 /> sufficient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: .�� �1 Y- ��,5� � �C�;Scn PHONE: (home) 4��-�7 �O(�o� <br /> (work)w�d. �y�t- So-7� <br /> MAILING ADDRESS: S�'� CITY: ZIP: <br /> CONTRACTOR �St� � PHONE: <br /> CONTACT PERSON: �' j� ��!c��;�n MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home �Additio Accessory Structure <br /> Move Home �e�Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: i'Z����l�J �o k 3o X G ' S�i,��t,,rr ' t,,J� ' �,�+�i�� <br /> (,�Op4� ��v< � ovc� �Gi'� a�" 1 S�' r! ��c� mc c���i-. (O X I(t`� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:�- vARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��0 L��� <br /> � <br /> 1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confarmance 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 wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: =�C..���1��_ � DATE: � o <br /> 31 <br />