Laserfiche WebLink
J G , <br /> �s / <br /> L,tr I t � <br /> Total Fee: $ � l' ' � r �- Date Received: �� �� <br /> Entered �y: ,���1'Ir.. r�� "-:.� �� A � Permit#• hit'�.��'(��7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p�•int crl[infoYmation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circ[e on OWNER OR CONTRACTOR <br /> k JOB SITE ADDRESS: ��SS t���N�; �CK �S�t�'j �R�7A� Mi�ZIP: -� 5�3� � <br /> Will this be a Parade of Homes, Remodclers Showcase Home or other Display Home? <br /> ❑ Yes �NO If��es, a specia!event per�rnit is required ivith Po(ice Department and Ciry Coarnci!npprova! <br /> 60 days prior to the event. Shzrttle 62rs service rvi(!be re�t�ired itnless applicant demonstr•ates <br /> sarffrcient on-site pai-king is avai/able. N'on-pernritted events will not be al/owed. <br /> x NAME OF OWNER: `� V'`1 � �'y� ���� I PHONE: (home) � �I"�Y 7� <br /> (work) (�l� �2.. �S� <br /> k MAILING ADDRESS: ���S��S (�����1� S i CITY: U�►�� ZIP: � <br /> CONTRACTOR: �,C►��cc�� (�;usz. .�Nc_ PHONE: 7�=3- `17L-3�c 3 <br /> CONTACT PERSON: `;� � �ZSBILE�PAGER: '7�;3 - 22�j - 2 3�c <br /> MAILING ADDRESS: `>c 3� cc :;» �� S� CITY:�c.��c' ZIP: ��,3�y�, <br /> STATE LICENSE: # y�iSy EXPIRATION DATE: n»rt c 7 <br /> ���,��,ts+�..�� <br /> R: ��_¢�:� ���:r.:n►_ PHONE• <br /> NI?_TLTNr Ai?��SS: CI'1'Y: 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 /> PROPOSEDWORK(describeindetai�: ��--" �-coE2� � ����.�e� ���t�iz��c��J <br /> � rv,,.�,� z�.� <br /> STORIES: f z-- SQ.FEET OF EACH FLOOR: ;,7� i yf� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED ✓ DETACHED_ <br /> cc <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��,�U <br /> 1 hereby apply for 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 Ciry and with the State Building <br /> Code;that I understand this is not a per� it and work is not to start without a permit;and that the work will be <br /> in accordance with the approved pl . <br /> x . �� �� l�l�� <br /> APPLICANT S SIGNATURE: . �`� DATE: � <br /> 3t <br />