Laserfiche WebLink
7 otal Fee: $ �'`f`-/ . .3�� Date Received: �-8 '�`� <br /> Entered By: ?t� Permit#: �O ?q � <br /> L. 6Y�`�'� f I /S�,'} !:'�-� - <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 O'12 CONTRACTOR <br /> JOB SITE ADDRESS: �f D �� V�/e �c..)uu�� �� ZIP: �j,39 / <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 Yequired with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: /�-�iJ�it j]�o rn-/�S`'"1 PHONE: (home) ��_5 a �ys O/6� <br /> , (work) �o/� �� 5� 9o3v <br /> MAILING ADDRESS: 9� '(,t���.►� ��� � CITY: ��'�n ° ZIP: �S 3 � / <br /> CONTRACTOR: (�,� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �v d � <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, �� v <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: �i�7�C2����-y�,�r—ti DATE: 9/�/d�_ <br />