Laserfiche WebLink
. <br /> Total Fee: $ Date Received: - <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All infot-mation must be submitted in full before plan review wzll be started. <br /> (please pri�zt all i�zfor•fr�ation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O`VI�iER OR CO�TTRA.CTOR <br /> JOB SITE ADDRESS: ` D„5 � � G`��/ /�1��ZIP: S�_s.�3'� <br /> Will this be a Parade of Homes, RemodQlers Showcase Home or other Display Hozzie? <br /> ❑ Yes ❑ NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Slzzrttle bus seitiice will be required wiless applicant demanstrates <br /> sa�ci.ent o�rsite parking is available. Non Permitted events will not be allotived. <br /> NAME OF OWNER: G�' �y' �'/��1�% PHONE: (home)`l3�' �7'7� �Y"Yj <br /> (work) <br /> MAITi�ING ADDRESS: ��J� Cy�ti�'/ /��- CITY: lJ�t°!�''�c- ZIP: ��:�s`E <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MA�LING ADDI2ESS: CI'i Y: ZIP: <br /> NA?�iE: REGIS�RATTO?�T: # <br /> TI'PE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration _� <br /> PR�]POSE���i'OJE2k;(descl�ibe an detar.�: /�e -S�rwsi�F' �c��Jli/`' <br /> S'�'(3R�ES: l SQ.�'E,E'�'O���C���.,O�R: �� �C� <br /> 1�0. OF �EDROOi�IS: _,� G��ZAGE S'T��.,LS: ATT'A�CI-��� DET'AC�IE�_ <br /> ES�'IiVIl�'TEi� CO?vS�'RUCT'IOIV VALiJA'�'IOIV(excluding land): $ r/���� ' <br /> I hereby apply for a bui!ding pernut and I ackaowledQe that the;nformation above is complete and accuratz; <br /> that the work�vi11 be in conformance with tne ordinances and codes of tne City and with the State BuildinQ <br /> Code;that I understand this is not a permit and work is not to start without a pern�it; and that the work will be <br /> in accordance with the approved plan. <br /> � APPLICA_�T'S SIGNATURE: DATE: C ~�� �—`.f <br /> i�yO <br /> JI <br />