Laserfiche WebLink
� �� �o(Zq�o`� <br /> � � <br /> Total Fee: $ /��� . � Date Received: �Q-JS"�`� <br /> Entered By: Permit#: A b'$Og/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all informt�tr�on) <br /> -------------------------------------------------------- -----==-- <br /> ---- - - - -------------------------------------- <br /> THE APPLICANT IS: (circle orie) �OWNER CONTRACTOR <br /> Jos sITE A���ss: 3� ���� �c��� lL�l<w �t-v�e t zir: S��s� <br /> Will this be a Pac•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes�NO If��es, a special eve�it pe�mit is reqarir-ed tivith Police Deparbnent a�id Cih�Coarnci!approvcal <br /> 60 dai�s prior to the event. Sl�uttle bars se�vice x�ill be reqi�ii•ed inzless applicant denionstrates <br /> su�cie�at on-site par•king is civc�ilable. Non pern2itted even/s wi/I not be�rllowed. <br /> NAME OF OWNER: �e-4��-�-c-c.� �-�h n �l ze-{„�� PHONE: (hoine) ��a.�D 1 I I�;-0 <br /> (work)�I Sa .� 3�-5�-� <br /> MAILING ADDRESS: ��""��Z �G-S�"(��e.Sh�et CITY: (� vc�c;� ZIP: ��S 3 S� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New _� Addition Accessory Structure <br /> Move Hoine Remodel/Alteration <br /> PROPOSED WORK(desc�•ibe in detai�: "�����' �c;��=r� - ��l� ���-�:����t l c'� <br /> STORIES: �- ��� SQ.FEET OF EACH FLOOR: ') �'���" � ) �E�4 �) � �4 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED�_ DETACHED_ <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 1J�% � O Z>b � ` <br /> I hereby apply for a buildinb permit and I 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- �2��i�-CC't�� �� -6�v� DATE: �"1 0"�-� ��`�` <br /> 1'��cC4-SE 4�C��-% �l,��l,'e� �i-, -�, (E: �� � ��t..vi����C E C�l����c�:�S��, `�-u� � ti�S ���_�� � <br /> �z r'���'v-r c'� ��.� <br />