Laserfiche WebLink
. ����5� <br /> ��' �� <br /> i � <br /> Total Fee: � ga9 7 � Date Received: �-B-�D.� <br /> �ntered By: Permit#: �(,g�(� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a11 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE �PPLICANT IS: (circle one) OWN�R OR CONTRACTOR <br /> JOB SITC ADDRESS: 5/D ,(31G �S L�}� zlr: <br /> Will this be a Parade of Homes, Remodeters Showcase Home or other Display Home? <br /> ❑ Yes ❑ �To !f yes, a specinl ei�en!per�mit is re�trired lvith Police Departrnent and Cily Cot�ncil app�•oval <br /> 60 days prior to the event. Shz�ttle bus seivice ivill be i•eqrrired trnless applrcant demonstrates <br /> sarfficient o��-site parkii�g is avni/ab/e. Non-per�mitted events ivill nvl be nllorved. <br /> � <br />� NAME OF OWNER: ;•� � Ii Y1 1 �f �:-�'�KI�� 'rr'�.�� Y�4u.�,ic(.rPHONE: (home) � ( Z -- .j��-Z�� <br /> (wock) <br /> MAILING ADDR�SS: ��2'�k/� N�/ ' CITY: %r ,��Cr`�,(i�� ZIP: ti�33! <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: ,i� , - �, MOBILE/PAGER: �/ Z - S�r�]_�3� <br /> MAILING ADDRESS: - CITY:%„�k�� ,s��Z1P: �� � <br /> STATr LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGIN�ER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Altei•ation <br /> PI20POSED W012K(describe i�z detai�: <br /> ��oH��s: ��.����r o��Ac���.00u: <br /> NO. OF BEDROOMS: C;ARAGE STALLS: AT'I'ACI-��1) DE'I'ACI3ED <br /> I+',S'TIIVIA'�'ED CONSTI2LTC'I'IOI�1 VAL,�JA�'IO�t(excluding land): � 3S,60� � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill be in conformance with the ordinances and codes of the City and wiih 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 wi I I be <br /> in accordance with the approved plan. <br /> �,..�, h_.�� ��- `.....,, •� <br /> APPLICANT'S SIGNATURE: `� \- DATE: _ S''� 0 7 <br /> � <br /> , <br /> 3l <br />