Laserfiche WebLink
. , <br /> Total Fee: $ g 9•�S Date Received: � U� <br /> Entered By: Permit#: � — 3 <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 inforrnation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: cirele one OWNER O � ONTRACTOR �� <br /> � ) � <br /> JOB SITE ADDRESS: ���L' �,'����n�J 7t�� �r-�_ ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Aome or other Display Home? <br /> ❑ Yes � lv0 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 reyuired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER• .� �>�'�'` �n�� C,) PHONE: (home) <br /> �(work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> coNTUACTOR: �"��>,� >; �� ����r�� PxoNE: y���-y 7��-�c��s- <br /> CONTACTPERSON: �.>)j MOBILE/PAGER: . �-- - — � "77 <br /> MAILINGADDRESS: �l��s 1�„� ��'����� 51� CITY: ��c.�w�; ZIP: �s�3/ <br /> STATE LICENSE: # ;.��G'/��°�3� EXPIRATION DATE: G� <br /> ARCffiTECT/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�: ,�..�;f�t'.�'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �--�C� ^ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in confarmance with the ordinances and codes of the City and with the State Building <br /> Code;that 1 understand this is not a permit and w k is 'c�t to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � �--5� � <br /> � � <br /> 3� <br />