Laserfiche WebLink
- - <br /> ,.�<< fi �;: � � <br /> <r�"����� ���.' . <br /> r f► <br /> l� �/ <br /> ` ��� <br /> • �� � ����P ��`k�,�� (� � � <br /> ' ^o�,�- ' <br /> P <br /> ' Total Fee: $ �l�' ��l��'� "�� p� ���C,_�� Date Received: � 7���'� <br /> Entered By: ���� N�����ti�� Permit#• �;�� ' � t, <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ,/Q C>S �,l/11��N L��/L�(' ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes m NO If yes, a special event permit is required with Police Department and City Council approva/ <br /> � 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events wil!not be allowed. <br /> NAME OF OWNER:/y�,� P ��/��� ��l�,rf7'� PHONE: (norne) �G3-�/�1� �3�a <br /> (work) �/, -.3 C . - S��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �� y -��LC ' PHONE: �5�--�f�/- c�� <br /> CONTACT PERSON: MOBILE/PAGER: �S��I-��9.�-03,�3 <br /> MAILING ADDRESS: ' a� �v � CITY: GS ZIP: ��,� <br /> STATE LICENSE: # � EXPII2ATION ATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home �G' _ Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! , <br /> PROPOSED WORK(describe in detai�:.�u����� �'�/�y�_���y�p — �,y�,9�� ,�E����.�,.,, <br /> ��-__��4�=r-L,'1�34.�.�n,e'.{1 ���n, �� �Q a,�A,� <br /> STORIES: �_ SQ.FEET OF EACH FLOOR��I"✓ �/SS l `%� //j"7i r,2'N�/3�7 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> �- - � o ����/� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ •..��?� ?_� <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 /> -�' 3 <br /> APPLICANT'S SIGNATU � r-�- DATE: �,3 O <br /> 31 <br />