Laserfiche WebLink
v <br /> '� � <br /> ,� <br /> �/ ! � <br /> .a� <br /> Total Fee: $_ (T/t(/1 • �� Date Received: <br /> Entered By: Permit#: �_T �7 qQ,h <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will he started. <br /> (please print all informatfnn) <br /> THE APPLICANT IS: (rircle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �Sl� ��p��J �,�� � ZIp; _� �'� <br /> Wi11 this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes '�NU !f yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. 5hu[t/e bus service will be required unless applicclnf demonstrates <br /> su�cien[on-site parking is availab/e. Non-permitted events will not be a/lotived. <br /> NAME OF OWNER: T KI N�, � �c.• v�AR R�hl 6a-�F��"PHONE: (home) ����" �{�(�"D a1� �, <br /> (work) <br /> MAILING ADDRESS: G$b $��a.,��.,� �� � CITY: �,f'�w�� ZIP: .� ��' <br /> CONTRACTOR: (.1.1� N��� [��,�"�e� �'�'S"'�4{� ,A..� � PHONE: �` � �p �"�- � <br /> �..., .���.. � ����� � <br /> CONTACT PERSON: � � MOBILE/PAGER: � - d- ��Zy <br /> MA.ILING A.DDRESS: /p p� , � ., ,�.,� ,� ; 1 u�ICITY: ZIP: S`S` <br /> STATE LICENSE: #�p��, p $' � XPIRATIDN DATE: � � ��'J'�' <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: � � <br /> � �� � �� � � ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED <br /> �.�° <br /> ESTIMATED CONSTRUCTION VALUATION(exc[uding land): ���,��'� <br /> � <br /> l 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 ardinances and codes ofthe 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 pl '°"°"� �, <br /> ..,,, <br /> APPLICANT'S SIGNATURE: c. ,.,.,a � .�--~��•, DATE: �G� �� <br /> 31 <br /> l00/l00'd 850# 6ti�til 800Z/LZ/ti0 lOB6 B06 Z96 �NI SH3111�1f10 MOONIM��uoa� <br />