Laserfiche WebLink
.. <br /> Total Fee: $ ' Date Received: .S 3/—O b <br /> Entered By: ,; / Permit#: �699a <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 infornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��� , � �� �(�� I� � ZIP: ��j_�jJ�C7 <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S �o If yes, a special event perraiit is req�uired tivith Police Departnzent and City Coi�ncil appr•oval <br /> 60 clays pria-to tl�e evenl. ShiFttle ba�s service will be requir-ed arnless applicant denzonstr�ates <br /> si�cient on-site pnrlcing is avarlable. Nor�-permitted events will not be allowed <br /> NAME OF OWNER. �e ; � PHONE: (home)q5� /�1-7�5(og S <br /> Cp92-- (we�l�) (�Ia (o�i(o I Z57 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ' PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> i <br /> ARCHITEC NGINEER: I' -� ' i f�� PHONE: ��O�j Z7 � �Z3S <br /> MAILING ' I . �O o CITY: __�—ZIP: SS�-� <br /> NAME: IVeI ruOv� REGISTRATI N: # �-47"7� <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 cletain: GL. <br /> � 1 �1 c- � <br /> � <br /> STORIE��� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �Q ' �ti'�`� ' �� d ��L/,j� <br /> I hereby apply for a building permit and I acknowledge that the information abov is(cQ plete and accurate; ( � <br /> that the work will be in conformance with the ordinances and codes of the Ci}�� and witil the State Buiidina � <br /> `J b <br /> Code;that I understand this is not a permit a work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: �1 Cu O(o <br /> 3t <br />