Laserfiche WebLink
t �o,n n� <br /> Q����� � <br /> � <br /> 3,�a � <br /> Total Fee: $ / 7 , �p Date Received: v_.� �-D� <br /> Entered By: Permit#: �, //�Q� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p��int all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR NTRACTOR <br /> JOB SITE ADDRESS: 3d l S C�ys�\ � (�l• ZIP: SS3 5 I <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 Depar�tment and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��wk ? .�,e►,►^�� Qv..,..,�-�e r PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: s'S39 ! <br /> CONTRACTOR: M6�'�� �. l�:�,�:dw.,s Cug�e,n� �c�+^6S PHONE: (o���ol S`1-9 7 SO <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �o� vJtsa- 5'i'`^ S�. � CITY: C i�4Sl�� ZIP: SS�� <br /> STATE LICENSE: # �o�y 9 y,y o � EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home 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�: ��d a,., � <��-�Y...�a.� [e nP�,,.ol�j-��� <br /> ���.,.J S 5c�i vv o,•� �'�n�•.•.� i N o�..J F-r v,*G 1<<t �d �la7 r c <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �S� oo u <br /> I hereby apply for a building permit and 1 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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. _ <br /> APPLICANT'S SIGNATURE: - DATE: 3�`��v g <br /> 31 <br />