Laserfiche WebLink
Total Fee: $ � � �h � � Date Received: �j�-�7'07 <br /> Entered By: Permit#: �I10�9� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•int all iixformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � `� �f �� �� n �`� ��� �� ZIP: �S�� �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No !f yes, a special event per•nait is��•egi�ired wit/1 Police Department and City Coarncil appr•ovnl <br /> 60 days prior to the event. Shuttle bz�s service wi!!be reqzii�•ed unless applicant dernonslrutes <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAMEOFOWNER: ��-�1r�( ! �-<-��� '"-*"�( PHONE: (home) ���` zt �3-i���' <br /> c.��'� (�.c:�i s'�;��i- ��7� <br /> MAILINGADDRESS: � `��`� << <r��'�S �����c� !�' CITY: �<-K ��.��, ZIP: s;T�? �' <br /> CONTRACTOR: S� � ` �- PHONE: � <br /> CONTACT PERSON: G'�-•��K. f- '-�%> r �t MOBILE/PAGER: <br /> MAILING ADDRESS: -�u n�--. CITY: -- - ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � �u�-�,� ,� .� �- ��� ����� � � PHONE: �����- `�����cY Y� <br /> MAILINGADDRESS: i3�'z �r,-�,,, �-�,' �- ,;,� CITY: /-�'<r ZIP:S'�.�� �.� <br /> NAME: �f -��: � '������, ` REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �_ Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windo�us) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(clescribe in detain: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: A'�TACHED DETACHED <br /> , �— <br /> .------- <i-- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ �, � /C% � � - <br /> � <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 witl:the ordinances and codes of the Cit�� and���ith the State Building <br /> Code;that I understand this is not a permit and work is not to start without a pennit;and that tlle work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:� �� ����"`-- DATE: �G' � 7 ��`� <br /> �1 <br />