Laserfiche WebLink
� /`` <br /> ♦ \ <br /> ��I� �l <br /> B�a9�dS ' � �� <br /> � <br /> Total Fee: $ o? � 7�O. � 1 Date Received: - ��'�� u� � <br /> Entered By: ,(�� Permit#: C� �� Z�� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirat all information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) �OWNER OR CO'rTTRACTOR <br /> JOB SITE ADDItESS: �v�%�C�S�'�J ' < <`{-' 'If�' ��% ZIP: ��}� � <br /> �Vill this be a Parade of Homes, RemodQlers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event permit is requii�ed with Police Departmer�t and Caty Council approval <br /> 60 days p�•ror to the everzt. Shzrttle bzrs ser-vrce xrill be reqtrired ainless applicand demo�sstrates <br /> sa�cient on-site parkrrag is availa6le. Non Permittec�events will not be allowecl. <br /> NAME OF OWNER: / � ' � ' PIIONE: (home) �� ' 7�' ��d <br /> � work � -y7/- 73� <br /> �7; ( )95 � <br /> MAI�,INGADDRESS:��)Ca`�� �� K_��: CITY: � � ���- ZIP: �.�9/ <br /> CONTR.ACTOR: ,�%.� �e���rn�r�L�� rxo�: ��� , y��-�va� <br /> CONTACT PERSO�T: ��— MOBILE/PAGER: ��� -��- ��(00 <br /> MAILING ADDRESS:--� �' - . ��" CITY: ��a�r� ZIP: ,5 3e�:.� <br /> STATE LICENSE: # � EXPIRA.TION DATE: / <br /> ARCHITECT/ENGINEER <<�l%�G�Ji��� PHONE: <br /> NIATLING ADDI2ESS: CI'i Y: ZI�: <br /> NP.�i�: REGIS�'R.ATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> �i� � �� �'Z�d//�J <br /> PROPO �ED��IORIti(desct•ibe in detailj: y�t' �: ��� �-�._ �z�t� <br /> a��C�,G �'� �t�c�r z''��`�� S -c`�.-- 7/vr/ � <br /> �Q a..re ��a re c�c e f 6ti y�t�'zL�-- ��� �"y %G7��l��. y�,� <br /> S'�'��iES: SQ.FE�'�O�'��.CI��'�,OaIE�: , <br /> I�iO. OF �EI)ROOi�IS: GP��GE S'I'r��,L,S: E1�T'AC�I�� I3ETAC�iEI� <br /> , <br /> �STIiVI�,T'Ei� CO?VS'i'RLTCT'IOI�1 VAILIJ�'�'IOlV(eYcluding land): $ ����, �i'�� � l C <br /> ---� <br /> I hereby apply for a building pernZit and I acknowled�e that the:nformation above is complete and accurate; <br /> that the work wi11 be in conformance with tne ordinances and codes of the City and with the State BuildinQ <br /> Code;that I understand this is not a permit and work is not to start without a pe:init; and that the work wi11 be <br /> in accordance with the approved pian. � �'��� <br /> � � � <br /> _.—� � / <br /> APPLIC�vT'S SIGNATURE� � l�/ - " -�- DATE: C� � �� <br /> / <br /> �1 <br />