Laserfiche WebLink
ti <br /> Total Fee: $ Date Received: <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 inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE�'OR CONTRACTOR <br /> ra1 2 <br /> JOB S1TE ADDRESS: I �`5 �,l}-���� ,/�-lLj� K���—� ZIP: � :7L � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display I�ame? <br /> ❑ YeS �'No If yes, a special event permit is reqaiirect�a�it1�Police Depai•tnient nnd City Coa�nci!npproval <br /> 60 c�ays prior to the event. Shuttle bus se�-vrce wil!be required unless applicant denlonstrates <br /> sufficient on-site par/cing is avadlable. Non-perr�aittec�events wzll not be allaweci. <br /> NAME OF OWNER: ��t«�u�,�.� �- Kd�, �r. �i1�`��:: •� PHONE: (home) 5�� �1-c(rv$ <br /> ,j �' " ,/J� (work)%S�;t• �/'�1!- �'c7)(�, <br /> MAILING ADDRESS: I T�'�' Q�}'U'1 ul���-��/'�J CITY: j,��N1J ZIP: r c- � <br /> CONTRACTOR: ��-�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER:I�� 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(descrihe in cletrri�:��;.1-,rL I�t�«<v��.�i� ��;— ��(z�r►c�:, l!i= �:�t 5 i��;.`��.- <br /> `�i i�v:e�tizf�t: �S f%Jl;� ��'x��" �r�srS- ,�,�U�oSe.; 7� Qr-AL�/�-C'�.: 1�,8c�e,� �=ot�l��.l-�T7o�U l�l�l <br /> �'�'�25� �2�1� t�l ('tiS�(, iC �svSi,L12�, S%�a,�-�Y7 N� �� �rv I`v �-�y�tT�r�J'lr j—�iurJ�n-�7�t�. <br /> STORIES: � SQ.FEET OF EACH FLOOR: �_ ���� <br /> NO. OF BEDROOMS: �= GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �j��'U� <br /> -, <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 pennit and�voc•k is not to start without a permit;and tliat the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: /�� ��`�`� . ��+�_ DATE: �17��'�. <br /> 31 <br />