Laserfiche WebLink
, � � So ,��e/f�y ��-w% <br /> , <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATI�N �� <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforrrtation) � <br /> ----------------------------------------------------------------------------------------------------------------y=------ <br /> -- ----'� <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR � <br /> JOB SITE ADDRESS: � ��� ����'1 G��C�4�''� i/ v " ZIP: S S 3�� <br /> Will this be a rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is required with Police Department and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> suffcient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��'�C� �Q�-?'Yj�tiYl PHONE: (home)��j�2�' �7�"a';� 2- <br /> /� (work) <br /> MAILING ADDRESS: � ��� ��c•-.�Y'.�/r�z�� CITY: L/���1� ZIP: CS.3 � <br /> coNTRacTOR: ���(�Pn� ,�u-r�1�� ��c Pxo�: 1.5���,�s-� � 'irs <br /> CONTACT PERSON: ��7/ �l y�>��� MOBILE/PAGER• �p/Z- �/y- a ,�� <br /> MAILING ADDRESS: /p,p ,�,; �it 1 5 f CITY: S�--�� -� ZIP: S,� 7 9 <br /> STATE LICENSE: # "7 y Z. EXPIRATION DATE. �9 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Str re <br /> Move Home Remodel/Alteration (ie: Siding Windows � i;., ��/oc�r <br /> Any earth movement may require MCWD review and p rmits!�"C�`d�G�C` �j <br /> PROPOSE�D WORK(describe in detain: /'��/cer� -�n��=.-. .,�c��^ Cc.%�`��c�Zc� �' <br /> �/�`n�� Oo r''S• <br /> STORIES: � SQ.FEET OF EACH FLOOR: � C'�av "'��/� • <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED��"� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��� d�-- <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: `�c..e���— DATE: � /3/D� <br /> 31 <br />