Laserfiche WebLink
/� <br /> . �`��S <br /> ��� <br /> �� " �� '/ as_a.s <br /> Total Fee: $ �5� � `" Date Received: 7'- <br /> Entered By: Permit#: �Q�(p.35 <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 infor�riation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: Z�CQ � (_l�c S Gs V�� ZIP: 5�� <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S �0 If yes, a special eve��t per�nit is reqi�ired with Police Department and City Cozrncil approval <br /> 60 days prior to the event. Shzrttle bars se�vice will be reqtrired unless applicant demonstrates <br /> sz�fficient on-site pnrking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �'-� (l�j 0 Z� G�o o �^-�- PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �/CQ � C�C 5� ��CITY: �✓'�� ZIP: �3� / <br /> CONTRACTOR; �Cc �Q�^r CO � PHONE: ��/ �� S`� Z- <br /> CONTACT PERS N: MOBILE/PAGER: Z 7 0 � '7 <br /> MAILING ADDRESS: �U �e. ,'K.,�.�,�CITY: ��a✓' C ZIP: <br /> STATE LICENSE: # ���" EXPIRATION DATE: �a(Q <br /> ARCHITECT/ENGINEER: --� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTR.ATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detain: FO k�u�'r'P� ���v" -- i.�-�e <br /> �x�`s����� ar�� ��,-w�- �' -� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDR OMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �i �p�o J <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 and codes of the City and with the State Building <br /> Code;that I 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: DATE: Z �S� <br /> 31 <br />