Laserfiche WebLink
. � <br /> Total Fee: $ ��'� Date Received: �� -("I•V ' <br /> Entered By: ���j(1{rV� Permit#: .����� <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 /> -- r...- _.. <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 1 7 � �C�1"L�'I� C.��' ZIP: _ S-Ss�G�-� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��10 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 required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��+� C�Y'.\S�7�i `�avs� r� pHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: V�• t-� �%"Lt , �!-� �j�� PHONE: 9��`�f 7a � 6 S 3 y <br /> CONTACTPERSON: gun MOBILE/PAGER: C���-8�7-3<r� <br /> MAILING ADDRESS:(�s�3�-5,,, SH�:,,��rts l_l� P��. CITY:/YI,'u�-dr>`s� ZIP: � <br /> STATE LICENSE: #�30 ,� EXPIRATION DATE: �t-- - Q �s <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 pe m� its! <br /> PROPOSED WORK(describe in detai�:__ ��-�i' ��;�� ���;��� �- �� S/�,'r.�,� �_ <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��d0.�C� <br /> , <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: / d F �� �`' � <br /> 31 <br />