Laserfiche WebLink
. �� �c��] . U� <br /> � �i <br /> ' � Total Fee: ,� '��� � � L�'��'S Date Received: � ���' CG' � <br /> Entered By: i Z_ l 1 Z /� .� Permit#: I 1���%,f z <br /> ' CITY OF ORONO - BUILDING PER�VIIT 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) O�VNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1 Lh C) �`:-c�c�e r�U� i.�.: ZIP: .`� .�'�.�`��.p <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 required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �v�.�k �L, (`,c�rc� ,>Lh m� � PHONE: (home) `�15:�, °'-f�1`1 • �'y�- <br /> (work) <br /> MAILING ADDRESS: I �'� ��;lcl�r�l�i��,,; CITY: JY�:v�� ZIP: �� �,�(� <br /> CONTRACTOR: h���--�- �, K-e,ti,,� J�nr>����1 PHONE: �i5.�• �-1�3 `t���-� <br /> CONTACT PERSON: {�e.i; , ,� MOBILE/PAGER: ���,: 714� ;���v�- <br /> MAILING ADDRESS: l`��� i-_���.z� �..�� +l�,�_ CITY: l-..L,�; I",--�c.� ZIP: .�,��5(� <br /> STATE LICENSE: # 11�,u� <br /> ARCHITECT/ENGINEER: 1 � o�-`¢ PHONE: <br /> MAILING ADDRESS: �--- CITY: — ZIP: --- <br /> NAME: — REGISTRATION# -- <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: �� ,-� ,�_�, C'�-� ;L��J��.�� ;;�- <br /> STORIES: �-�l SQ. FEET OF EACH FLOOR: I (� C C'� <br /> NO. OF BEDROOMS: ;�� GARAGE STALLS: ATT.�_ DET. ' <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,�j(��, �C�.� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the 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 /> �� , <br /> APPLICANT'S SIGNATURE: �.� ,---�--�__1�,,,u�� DATE: /�3 0.3 <br />