Laserfiche WebLink
ti <br /> � c.j °G <br /> Total Fee: $ � ���� � ��� ' DateReceived• '����� <br /> Entered By: �,,� ,�,� i ' � Permit#: D 92. <br /> �� <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 i�zformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z U i �, ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'CS � NO If yes, a special evenl per����it is��eqiiired tivitla Police Deparlmeni and City Cotirncil appr•oval <br /> 60 days prior to the event. Shzrttle bus service wil!be requi�•ed unless applicant dernonsd•ates <br /> strffrcient or�-srte prn•krng is avnilable. �`on-perr��itted events tivill not be allotived. <br /> NAME OF OWNER: ��"1��4-�f�jor�aL �-�.;� PHONE: (home) �S z- �76-�b s� <br /> (work) - <br /> MAILINGADDRESS: �{7S� ��-�r�S�� �r",CITY: Or�'l(S ZIP: <br /> CONTRACTOR: U�`��� �C , PHONE: ���-,�Z`��S� <br /> CONTACT PERSON: M BILE/PAGER: - �-�`�ZO <br /> I MAILING ADDRESS: � , CITY: � ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: f�ar'C�Zbb� <br /> ARCHITECT/ENGINEER: � C�vbFi��-r�'``PHONE: (�SI- �S�- /�v� I <br /> MAILING ADDRESS: a� �ulf CITY: ;(�i,�5 ZIP: SS b�� <br /> NAME: {�Q,�J�I� �sr� REGISTRATION: # 7 <br /> TYPL OF �JOIZK: New Hame Addition 1� Accessory Str�ictu;e <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descrihe in detuin: z.� ZZ � Ca� <br /> -e -� � � � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHEI� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �� DO d <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork�vill be in conformance witl:the ordinances and codes of the City and�a�ith the State Buildin� <br /> Code;that[ uilderstand this is not a permit and��-ork is not to start without a permit;and that t17e work���ill be <br /> in accordance with the approved plan. <br /> AYPLICANT'S SIGNATURE: � V�c, DATE: � - Z� -? <br /> �l <br />