Laserfiche WebLink
, <br /> Tota( Fee: $ /�$(,� . L C, Date Received: � �G G��j <br /> Entered By: ' Permit#: �// //O(a <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priizt al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���� ��v�-� L,•t.J ZIP: �S 3�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO !f yes, a specia/event permit is required with Police Departrne��t and Ciry Council npproval <br /> 60 dn��s prior to the ever�t. Shuttle bus ser•vice�vil!be reguired unless applicant dentonstrates <br /> sarfficient orrsite pnrking is nvailable. R'on-peri�rreted events will not be allowed. <br /> NAM�OF OWNER: li�j k `� J,�.c� N�--�`x�,� PHONE: (home) `1 S�-`{�6~ Gj6�-o <br /> (work) �i,2- 30� - sa�$ <br /> MAILINGADDRESS: .���0 17�z�,--� L•� CITY: Qr���� ZIP: SS 3s,(> <br /> CONTRACTOR: 5�.1� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 541� PHONE: <br /> 1V1H1L11\TV�L WJJ. �l i 1: uiL: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteratio�i (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe iri detain: �a��f�f: ` ���c�;� :�— <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���C��� <br /> I hereby apply for a building permit and I acknowledge that the infonnation 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��-ork will be <br /> in accordance �vith the approved plan. <br /> APPLICANT'S SIGNATURE: �j� ` - DATE: � 1� c�,� <br /> ` 3t <br />