Laserfiche WebLink
. � �- � <br /> �,���� <br /> Total Fee: $ ��� �� Date Received: �/a� o g <br /> Entered By: Permit#:a�Q�- 00 /7�- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: t 6P,U E.c..l�v.=C���� �v�: ZIP: j5 3i�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ I�es � NO If yes, a special event permit is required with Police Department and City Council app�roval <br /> 60 days prior[o the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will�aot be allowed. <br /> NAME OF OWNER: j�NN it=�F' ' JC>F�r� A�MS PHONE: (home) <br /> � <br /> (work) <br /> MAILING ADDRESS: 1��� ��mw�o� �v� CITY: �-�(a�jJ J ZIP: SS acsry <br /> CONTRACTOR: L�(,� SEt�SoaS gu�c,�iNe� ���, , PHONE: ���2- �3to - �?.� <br /> CONTACT PERSON: , )vS N / 5(=c�TT MOBILE/PAGER: <br /> MAILINGADDRESS: �� 'L��! �wr,-�c� a�c`� CITY: p�Ra.t������ ZIP: S53C��o <br /> STATE LICENSE: # ZC>.'> �r�C�i S EXPIRATIOI�'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�: TZ� Cx i 5;�,•�c. Z�t;LC . <br /> f al��r r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z��U <br /> I hereby apply far a building 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 pennit 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: � Z C9 ' Z�� <br /> __ _- / <br /> � <br /> 31 <br /> ,� I <br />