Laserfiche WebLink
/� , <br /> Y` <br /> ' ,�� Total Fee: $,�_��y'� v2�� DateReceived: ,zI ��' <br /> � '" Entered By: , , �,,L Permit#: /� ��,� f 7 <br /> � �� <br /> L� 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 O C NTRACTOR �' <br /> JOB SITE ADDRESS: Z��' S— ��S��� �'f � Z1P: �.5�9 / <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �O If yes, a special event permit is reguirec�with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 4 �'�~ � r` i� � PHONE: (hoine) ��� � �� 7 —��7 <br /> � �� � C�� (work) <br /> MAILING ADDRESS: � ITY: d���"'`� ZIP: �3�'i / <br /> CONTRACTOR: ��� ��- PHONE: �5 � ^`'`��'—c'��2 <br /> CONTACT PERSON: .c� (--=f= ct �. - MOBILE/PAGE • j 2 �` �S�' ?�`'�' `7 J cz <br /> MAILING ADDRESS: tt l v � �,c f- �l�!-t (� ,� CITY: ZIP: 5��� � � <br /> STATE LICENSE: # / ' (p � EXPIRATIO 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 equire MCWD review an�rmits ! <br /> PROPOSEp WORK(describe in detai�: ���+�C��-�� 5,��(� u • <br /> �, •��1��- -r "C A P�rv� ni e�..s -�o A�.c-. o,.► �-� c.�ve�=' <br /> STORIES: �- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $,� �yd 4'�' � �u <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 wit11 the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pennit 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: DATE: �% n` � <br /> 31 <br />