Laserfiche WebLink
To tal Fee: $ � ��� ��' Date Received: �'��"�`� <br /> Entered By: �� i�� �,, Permit#: AD7�Z3 <br /> ��'��`� �� C l �� �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all infor»tation) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACT__O_R r <br /> JOB SITE ADDRESS: �� �-� �G`r�c]L�k����Vr�:1 ZIP: ��-�'-`-'��' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special eve�2t pernzit is re�uirec�witla Police Departme�lt and <br /> City Couracil approvc�l 60 days prior to tl2e eve�at. No�z-pernzitted <br /> events will riot be allowed. <br /> NAME OF OWNER: ': ' �`����'-� �/�,'���� PHONE: (h�me) ������$J� <br /> (work) <br /> MAILINGADDRESS: ��-�QS ��d ���w� ��: CITY: �� �1��'���� ZIP: -S.�'�4 �� <br /> CONTRACTOR: �i�C I�I.���'..ir�C�S .�1t.:_ PHONE:7C>�--7���fi�`I( <br /> CONTACTPERSON: � . �F��nsc�� MOBILE/PAGER: �►z��.�-5�i v"�� <br /> MAILING ADDRESS:(�'��'�'�'i e CITY:(,i�tu►���a �� '� IP: -�.� 2 i <br /> STATE LICENSE: # 3��� EXPIRATION DATE: C� ���C Z<<<>_� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration '�}-���r�.�. <br /> . , <br /> PROPOSED WORK(describe in detail): vt.�k�t �.C�Rk='�- ' � �u� c.:1�',��o�o 1� <br /> �i Ld(�.`�l:yk ,' '1.t�C�i.'r. 1.!'1/�.a,�r�Ly�, C�/C�;Qett.�-t�,1d'c,� �! `—�7 <br /> STORIES: I SQ.FEET OF EACH FLOOR: - / <br /> NO. OF BEDROOMS: �' GARAGE STALLS: ATTACHED DETACHED I/ <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 SIGNATURE: � vi'Ld�� DATE: �°�� Z�l� <br /> 9 <br />