Laserfiche WebLink
• ✓ ! � <br /> Total Fee: $ Date Received: —2�-'�� <br /> Entered By: Permit#: O G7/ <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 /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 3SSv �v y �c.a'� (.�A�YZ�Y'A MaJ ZIP: SS_��,/ <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 Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is availa6le. Non permitted events will not be allowed. <br /> NAME OF OWNER: t2�H y ����r)i�� PHONE: (home) �SZ �/�/aS� <br /> (work) ��2zZ/ oS��D <br /> MAILING ADDRESS: �S�p T US/ ►-�G��'� CIT'Y: C�,eo,�,�n ZIP: 53-�� <br /> CONTRACTOR: S��i� PHONE: 6/���l -b y3o <br /> CONTACT PERSON: ��'�� MOBILE/PAGER: ��-n�� <br /> MAILINGADDRESS: �rn� CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ��'�; PHONE: <br /> MAILING ADDRESS: S��r= CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration _ � <br /> PROPOSED WORK(describe in detai�:�f,,,o�ti � �-�;��� �-;c u ��M� �F�4f,� <br /> STORIES:� SQ.FEET OF EACH FLOOR: ��D <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATTACHED DETACHED_ <br /> ' n� <br /> ESTIMATED CONSTRUCTION VALUATI N(ex luding land): $ 3� �(Q� <br /> I hereby apply for a building pernut an I ac�cu wledg�e tha information above is complete and accurate; <br /> that the work will be in conformance ith tlhe rdina�ces an codes of the City and with the State Building <br /> Code;that I understand this is not a pe a�nd rk is�ot to s w�out a permit;and that the work will be <br /> in accordance with the approved plan.; . , 1 � �', � <br /> � , �, <br /> q / <br /> APPLICANT'S SIGNATURE: �t .' �' ' �-- ' � DATE: l, Q05 <br /> i i <br /> , � <br /> 1 <br /> 31 <br /> ; <br />