Laserfiche WebLink
� �� � � � q-1�-�5 <br /> c� <br /> Total Fee: $ // /73. 8/ llate Received: ���� � � <br /> Entered By: Permit#: L�` y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will bc started. <br /> (please print n(1 informntion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (circle one) OWNER O1�CONTRACTOR <br /> JOB SITE ADDRESS: `�� �a� �� ��� �� ZIP: -�'S 3�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � 1V0 lryes, a special event permit zs regi�ii•ed ivit/�Po/zce Depar•tmenl and City Colmcil approvnl <br /> 60 dnys prior tn the event. Shzdtle birs service tivill be r•equired zrnless app[icant demonstrates <br /> suffrcrenl on-site parking is nvnilnble. Non-permitted events will not be allowed. <br /> NAME OF OWNER: SCo�T �,�(�Et.A �os's PHONE: (home) <br /> (wock) <br /> MAILING ADDR�SS: CITY: ZIP: <br /> CONTRACTOR: ,+��f C�Qq ic., �fv,L•,E s PHONE: �j.S2- ��G���.3 y <br /> CONTACT P�RSON: %3d!3 MOBILE/PAGER: �/z -(o U4 -7/'�-+' <br /> MAILING ADDRESS: SGS �IL, Uvr��c� j ,�;�-�d CITY: Ch�... ZIP: �S_3i '7 <br /> STATE LICENSE: # ��'t�l� EXPIRATION DATE: 3 s- ��� <br /> ARCHITECT/ENGINEER<.S�j�i;..r�- 1J��`��J' PHONE: �S� - �ld- �7 S�' <br /> MAILING ADDRESS:�� G,��-7r=� �'r �7`jOd CITY:��'��.,(/cf ZIP: SS� 7 / <br /> NAME: �yj��<< � /rr�Q,,� KEGISTRATION: # <br /> TYPE OF WORK: New h Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain: /L'E/�u �-�Dm�' �'� �5,� s�/ <br /> S'-i'ORIES. -� ek� /�'s�rr SQ.�'�C'I'O�EACH FLOOR: Z� q 'Z �`� 3 �q��' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHE DETACHED <br /> �STIIVIATED CONSTRUCTION VALUATION(escluding land): � l� ZS� �D d <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 Bui Iding <br /> Code;that I understand this is not a pennit and work is not to start without a permit;and that the work�vil►be <br /> in accordance with the approved p . <br /> APYLICANT'S SIGNATURE: � llATE: � � 4S� <br /> 31 <br />