Laserfiche WebLink
r <br /> 1 <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 infof�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �`�f � � C C�vti��1�1 S�= ziP: �^�3� I <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'eS �O If yes, a special eve�2t per•mit is r�eqarired ti�vith Police Departnre�at a�vd City Coarncil npproval <br /> 60 dc�ys prior to Ihe event. Sh�uttle bz�s service tivi/1 be reqaEir•ed zrnless applicant den�onsU•ates <br /> sir�cient on-site parkir�g is available. Non-pei•n��ittecl eve��ts will iaot be allotived. <br /> 1`�AIVIE�F OV��i`1ER: ��C��L�� � �Elr(/�CL P�I'aN�: (home)�5 Z `-1�7� G`f�� <br /> (work)�i 2 (��I�—D�-/J G <br /> MAILINGADDRESS: Z`��J2 �Lpr/��� CITY: ,�Q%1p ZIP: �-s 3� / <br /> coNTr�.cTo�: S� � -�'- rxoNE: �l SZ �`�C o�S-� <br /> CONTACT PERSON: MOBILE/PAGER: jL,l 2 �I �1 C> >� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # �XPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI�'Y: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessocv Stcucture <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movemen�ay require MCWD revi�elw and ermi�s ! <br /> P POSED WORK(descr•ifie i�z cletai : x �irit` � <br /> i �4 � f' ���I ��, � �� I c �- � c�o ��ic�u� �C�✓ ,► <br /> �� w��d�u). <br /> STORI�S: �_ SQ.FEET OF EACH FLOOR: �)�QI� `�'(�O LC:C�Z-� ) ,� d U <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATTAC ED � I)ETACH�D <br /> ESTIMATED CONSTRUCTION VALUATION(excludeng land): $ t� C�� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work��ill be in confonnance�vith the ordinances and codes of t le City and with the State Building <br /> Code;tllat I understand tl�is is not a permit a �ork is not to start with t a permit;and that tl�e work�vill be <br /> in accordance �vith the approved plan. <br /> APl'i�ICarv'I'°s SIGi�'AT�IJRE: /l 1�A'�E: lZ �/�- Gl� <br /> 3l <br />