Laserfiche WebLink
Total Fee: $ Date Received: • <br /> Entered By: Permit#: <br /> � <br /> 4 <br /> � CITY OF ORONO - BUILDING PER'VIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all i�aforfnatioiz) <br /> --------------------------------------------------------------------------��------------- -------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: �`���,�G�'�.�� �/�� �i��!'C��''�� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is reqa�ired tivitl� Police Department and City <br /> Council approval 60 days prior to the event. Non pernzittecl events will not <br /> be allowed. <br /> �-- y��. <br /> NAiVIE OF OWNER: —J��� �l/�-C.��-��� PHONE: (home) y7� ;,7�,�� <br /> (�vork) <br /> 1VIAILING ADDRESS: ���/6�� '7rrSf /k, �m��°N�, CITY: �;v 12C) ZIP: <br /> � <br /> CONTRACTOR: �1�S�19f CQ�?� � ' PHONE: 763��%�"��5�� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: ��/ ?,� ' �y(/� n/� CITY: r�;�/ /t� f'i, ZIP: `�� <br /> STATE LICENSE: # �� `17 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � (��Y�� Accessor Structure <br /> Y <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(rlescribe iiz detai�: ���9����� /'��'UU� ��U%�� /�,�/-�G/�=� <br /> STORIES: SQ. FEE�' OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�v� <br /> I hereby apply for a building pernut and I aclmowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of ttie City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> / -/7G `� <br /> APPLICANT'S SIGNATURE: DATE: /�� <br /> � <br />