Laserfiche WebLink
�G� <br /> , 8-/�-� 7 <br /> Total Fee: $ �3 �. � 1 Date Received: �j �, -"�, <br /> Entered By: �_ Permit#: /�II'J� � (`�� <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�e) OWNER OR CONT TOR <br /> JOB SITE ADDRESS: .Sv � s- v � ZIP: S� ^ <br /> Will this b P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes�o If yes, a special event permit is requi��ed with Police Department and City Counci/approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed <br /> ) �' <br /> NAME OF OWNER: . ���- �% /��,'SC�<�-r5v J^ PHONE: (home) y��' 7g 1 1 Y <br /> / work) <br /> MAILING ADDRESS��-�J �sc� �7'���CITY: ��/„��� ZIP: `�-S.� <br /> �-- W (v �� (�-� 0�� ct+�.,sr��J� <br /> CONTRACTOR: w�--� � PHONE: �S� `/��-��(-� � <br /> CONTACT PERSON: � ,,�� 1XIOBILE/PAGER: <br /> MAILING ADDRESS: 3��%J ��5�`� l �'_� CITY: /��� _ ZIP:.s�/ <br /> STATE LICENSE: # EXPIRATION DATE: <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 M WD review d permits ! <br /> PROPOSED WORK(describe in detai�: ,,1� ���� �"����,� �,��`�o��G��/� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �, — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ --��UU � <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 a�Eed�of the�ity and with the State Building <br /> Code;that I understand this is not a permit and work is�°r6f�to start w�rtly�pen ' ,and that the work will be <br /> in accordance with the approved plan. ;.�..---`" ,.lj'J - <br /> _�.. . <br /> ./r .. <br /> APPLICANT'S SIGNATURE: , �--�""- ; ��� -�-v �- <br /> 3t <br />