Laserfiche WebLink
Total Fee: $ � ��• �� Date Received: �/ y�/ �'I <br /> Entered By: Permit#: �009-� D�� �� <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 one) OWNER OR CONTRACTOR <br /> Jos siTE avnuEss: ;��'.�� ��s��� I�7� ziP: 5��� <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �NO If yes, a special event permit is reguired with Police Department arzd City Council approval <br /> � 60 days p��ior to the event. Shuttle bus service wil/be re yuired unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> � ;' / . <br /> NAME OF OWNER: < -�l�/St�a �7�/����'�— PHONE: (home) %��" ��7�'7�d � <br /> � / (work) G./�-- 7/l� - �� ?�-f <br /> MAILING ADDRESS: � L� ��t 5�0 �1"���- CITY: zCti��- ZIP: �� <br /> CONTRACTOR: �� �s1�✓f Lei�-n�-���/�✓,��-fi�-.-- PHONE: T�-.> -' <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCffiTECT/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 MCWD review and permits! <br /> PROPOSEI�,WORK(describe in detai�: <br /> i,-"1 V�I 5�,��u tGt �,�.C�i2C U1�1 S �i.a�5 ` Q <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ZD � � <br /> I hereby apply for a building permit and I acknowledge that the infonnation 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 1 understand this is not a permit and 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:� :s'''� 4 � ' <br /> E�n-��G, c����'`--DATE: O��� �; <br /> ; �'—� <br /> ,%. i <br /> 31 <br />