Laserfiche WebLink
Total Fee: $ j � S ' Z �+= DateReceived: "�� ��-} L'' <br /> Entered By: -� �Z i� -%�rw�; ���Z� Permit#: ��� i �ti� ' r, <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> " All information must be submitted in fult before plan review will be started. <br /> (please pf•iiTt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> �p� � <br /> JOB SITE ADDRESS: 82S g�C1W� �U4�P�i ����� ZIP: ���� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ,�No If yes, a specia7 event perrnit is�•equired with Police Departn�ent nnd City Council appi�oval <br /> 60 dnvs pr•ia�to!he event. Shzrttle bars service n�ill be�•egttir•ed zrnless app(icant denaorzstr�ates <br /> sufficient on-site pnrking is available. Non-pern�itted events tivill not be allowed. <br /> NAME OF OWNER: M �����. PHONE: (home) ��2 –��I2 --(00�"1 <br /> (��. (work)(p l,Z�'3le3–�Ola <br /> MAILING ADDRESS: � 6�(IWlv I� . S . CITY: O(�.pV�!'O ZIP: ��;3� <br /> CONTRACTOR: ���11�J �S��l VY''�N i �Y�IZ • PHONE: ��Z '�'��� (2-2� <br /> CONTACT PERSON: �'OD(� �I�,V 4� MO��AGER: <br /> MAILING ADDRESS: l��(0�0 lN�-`Z7�'�' 13�V1�.5�� ��2f�f�F} ZIP: 5�3� � <br /> STATE LICENSE: # �,G – 'j 2 S Z. EXPIRATION DATE: �v 3t 2CbCo <br /> ARCHITECT/ENGINEER: ���'� PHONE: ��`t'Wll� <br /> MAILING ADDRESS: �1�wV� CITY: �:.l�iM�� ZIP: –� <br /> NAME: — REGISTRATION: # — <br /> TYPE OF WORK: New Additio �~ � Accessory Structure <br /> Move Home �c,m odeVAlteration <br /> �; ��,*- ✓ <br /> PROPOSED WORK(describe in detai�: _ _ � � �"C?`�"" '"j'Vv[� <br /> S�'ORIES: '^ S�.FEE'I'OF EACI�FLOOIZ: I �� �� <br /> NO. OF�EDROOMS: -, GARAGE STALLS: ATTAC�IEI) -- DETACHED --� <br /> E�'TI10�IAT�D CONSTI2UCTION VAL,UA�'IOl�(excluding land): ��2� �� — <br /> I hereby apply for a building permit and[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 permit and work is not to start without a permit;and that the work wilt be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: DATE: � <br /> 31 <br />