Laserfiche WebLink
, ��7 <br /> , � �f-�� <br /> Total Fee: $ iao� . 6 9 Date Received: '1�'9`�� <br /> Entered By: Permit#: f� /Og7,5 <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: L����� L����.i���� �#?ut L. ZIP: „j���� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, n special eve��t pern�it is r•e�uired lvith Polrce Departme��t and Ciry CoiFncil appr•oval <br /> 60 days pria��to the ever7t. Shi�ttle bus se�vice rvi!/be requirecf unless capplicai�t devnonsh•ates <br /> szrfficient oia-site parking is available. No��-per•n�itted events will not be crllowed. <br /> NAME OF OWNER: L��.I�.(�� (���,>>���lL� PHONE: (home��;z) G{�{� -Uc�c��3 <br /> (work) � - -�3�}7 <br /> MAILING ADDRESS: �']8� C'���.w,��� �y�ITY: ���p� -+',�,�IP: �- <br /> CONTRACTOR: �i�• �T��- ��i,ST PHONE: ��? �� �'��� <br /> CONTACT PERSON: ��,�, �,L,�T�� MOBILE/PAGER: �1 z. q�.5 -9/`» <br /> MAILING ADDRESS: �y��z�� ,(��.��.��� �� . CITY: /YfT,�� ZIP: ���,' <br /> STATE LICENSE: #�;�(Z EXPIRATION DATE:�v(�.�� U 8 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: Ne�v Hame Addition Accessory Str��cture <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descrihe in detuin: � ,���.lyeuis i� 1����� , 1.�Jk-�( .51��rOY-r��- <br /> �aGra���.s /�-�lu �i,l L�i,l� ,�l��2�cr�oD���z. ��i��s N �u�e�— /� c�� <br /> STOI2IES: SQ.FEET OF EACH FLOOR: � �Lv�,�- /���J r 1 ���-1_ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� �XO <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> tl�at the�vork�vill be in conformance ���itL the ordinances and codes of the City and«�ith the State B�:i!din� <br /> Code;that I understand this is not a permit and��ork is not to start without a permit;and that tlie work will be <br /> in accordance�vith t11e approved plan. , <br /> � <br /> r <br /> AYPLICANT'S SIGNATURE: � / ,�� DATE: <br /> �l <br />