Laserfiche WebLink
a , t <br /> Total Fee: $ .3 q• J� Date Received: �bl�`J �D � <br /> Entered By: Permit#: �O-J$- O O�Ti� <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 O�CONTRACTOR <br /> JOB SITE ADDRESS: �Cc4'S Cc-�p�� � �+ ��- �r Zjp: � � � 5 � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'es �lvo If yes, a special event permit is required with Police Department and City Council appi•oval <br /> 60 days p�-ior to the event. Shuttle bus service wi[I be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: J y" � �� �y T��� �"� PHONE: (home) � 12 - 73a - ��Z �G <br /> (work) <br /> MAILING ADDRESS: J��-� CITY: ZIP: <br /> CONTRACTOR: C ��- ����,��a^S `LC PHONE: C5/_ z �� - 3� 7C <br /> CONTACT PERSON: '17�,:�..`n�� �(.�v- MOBILE/PAGER: �-5 I- 3 2 � -�r/� <br /> MAILING ADDRESS: i �7 219 F�,tit-i, �'� CITY: ��+r,�.�;�.,}z,� ZIP: � 55 0 2�-1 <br /> STATE LICENSE: # Z�5 �6 S y S EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��c� 6-� �- (�'� K o � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2�� �� <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 wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> _._�____._ <br /> .. _._ �,� <br /> APPLICANT'S SIGNATURE: � _ - DATE: I � �� /Q � <br /> � <br /> 31 <br />