Laserfiche WebLink
� • <br /> G� <br /> C 2S.� <br /> �t' <br /> Total Fee: $ ,� Date Received: ��'�Q-07 <br /> Entered By: Permit#: ,�j�l�"]`j <br /> 1 <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 /> -- ------_. <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> � <br /> JOB SITE ADDRESS: �.�7 5�c-' /c����<<� �%��i� c.�.'�9 j ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO /f yes, a specia!event permit is reguired lvith Police Depariment and City Council approval <br /> 60 days prior to the everzt. Shuttle bus service will be reguired unless applicant demonstrates <br /> suffcient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: c�r o� O,�E'C��U �� ��'�� ���c�c� <br /> � y PHONE: (home) :� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �/�S j:�f S�G�C. .�- �;c i�•LD �i S� - �%�'i�. " � `f�;' 'L <br /> PHONE: ���'"��'W�"��� <br /> CONTACTPERSON: C�/� i�- S��-lv� Tr�' MOBILE/PAGER �,�� - ��i � - ,� ,�� <br /> MAILING ADDRESS: ��-�� �U�s T �hr,�; Si� CITY: �;�/�C'c��,�.�'} ZIP: 5 5-3:�1�7 <br /> STATE LICENSE: # ,��� �_: j � 5-..;? `� EXPIRATION DATE: �3 -� - L� ��� <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�: .� x F:l'_s i z�.� ,�'��c�vr� �i/�.'/S i�' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_�, �%n�> � <br /> I 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 City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> �,_� _,.�. � <br /> �_ . <br /> APPLICANT'S SIGNAT�RE: _� � � ;�; DATE: �C> �'j <br /> _ � <br /> 31 <br />