Laserfiche WebLink
��� � �a a��� ���� <br /> Total Fee: $ l�0 5� �� Date Received: OZ� <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before ptan review will be started. <br /> � (please print all information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: � � r0 � �D K'1`}� �IZ ►'►�L D� ZIP: J���j � 7` <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 required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking fs available. Non permitted events will not be allowed. <br /> NAME OF OWNER: _�,�( �Litf�s PHONE: (home) 7�p,� ' �J� I`�83 <br /> /� (work) <br /> MAILING ADDRESS: � (6 9 a�ZT f� /7"/�lM�ITY: ,�fJ ZIP: Ss�G <br /> CONTRACTOR: � (..LcS 1 q /�I �l�uGGo C. PHONE: �v�a - (� ��- �6L9 <br /> CONTACT PERSON: L NSu MOBILE/PAGER: 6�a- 98�-.3 y 7� <br /> MAILINGADDRESS: /07/S 1'e�se.� cfi /�/ CITY: �rooK/ n/ P P: SSyi/S <br /> STATE LICENSE: # �n3�913� EXPIRATION DATE. 3-3/-vb <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�: � tJ � � � �, S�r� �T lcf�SG,� <br /> t„t a i.l - oo w w,q S �s <br /> STORIES: � SQ.FEET OF EACH FLOOR: �-�1 <br /> NO. OF BEDROOMS: A GARAGE STALLS: ATTACHE DETACHED — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3(�J �� <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 /> APPLICANT'S SIGNATURE: � DATE: _� -�-s d� <br /> 31 <br />