Laserfiche WebLink
. �:.=� G <br /> � Total Fee: $ �' ` Date Received: �"b , !dZ <br /> Entered By: � �� Permit#: �f �,� � r-;t,� <br /> , � -9'� ;, /;- .� , _r'�- <br /> �,� ��� j <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 /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��U �1Y �t,-e,�,t �� ZIP: �S��S�2 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Department and City <br /> Council appYoval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �W'�S ' S�srw� ���l�S l�^ PHONE: (home)�S�a ���' -�t�� �e <br /> (work) I� ��f�-74��'� <br /> MAILING ADDRESS: �)� �X �/',�- �� � CITY: (��i'►�-�.� ZIP: j��vt! <br /> CONTRACTOR: � iti(, ��'�� � � 5��1�L�V.. PHONE: <br /> CONTACT PERSON: {- M /PAGER: <br /> MAILING ADDRESS: k V��� CITY: �r�-�` ZIP: ��' <br /> STATE LICENSE: # �3G- 3 S/ 3 -3/-DS <br /> � <br /> ARCHITECT/ENGINEE� ���R�j����J�'� _ <br /> MAILING ADDRESS: _ , �` C� _ <br /> NAME: � y� <br /> i �� — <br /> ���U <br /> � - Q � <br /> TYPE OF WORK: New �'l <br /> Addit J �� <br /> Remo � � <br /> ���� �� � / <br /> PROPOSED WQRK(descr �; , � �l.� <br /> �c. F��.�� �0 G�.C�+.�� �.�� � _ <br /> � <br /> STORIES: <br /> NO. OF BEDROOMS: <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �1�� � <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work i to start without a pemrit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �13��� <br /> � — <br />