Laserfiche WebLink
�� <br /> 5-3b-0� <br /> � � <br /> Total Fee: $ �aa� Date Received: ,�/1 D���v <br /> Entered By: ;�'L Permit#• (�c�`(��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print ccll infoYniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��,�`�U d'�.1� ���v� ��(Z ZIP: 7 3�; <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a specia!event perrrrit is required with Police Deparlment and City Cozrncil approval <br /> 60 days prior to the event. Shzrttle bus service wil!be r•eguired unless applicant clernonstrates <br /> sicfficient on-site parhing is avnilable. Non-permittecl events ivill not be allowed <br /> NAME OF OWNER: (�C—��-` � 5'i��2c��j PHONE: (home) k-�Z-�{�Z-U Z�Z <br /> '�F(work) tnl Z—1c�(—�3 Z-- <br /> MAILING ADDRESS: ��U f��k �l���> CITY: ��,1����=��� ZIP: c' 3� <br /> CONTRACTOR: ��.1 ���-��� i �c.%�L'L.-(� PHONE: <br /> CONTACT PERSON: c MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detcrin:��r�,_,�j ��� ���vG � ST`�S C�c�:' �k(ST<a'G <br /> `���� �>C_�C;'(f��. �l�E�,� ; �}� T�2<v2 Ll,���,v���tiGU <br /> STORIES: Z SQ.FEET OF EACH FLOOR: 1 Z- � U <br /> NO. OF BEDROOMS: ?�_ GARAGE STALLS: ATTACHED Z DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � l����� U - �G� <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[ understand this is not a permit and�vork is not to start without a pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: C�� DATE: � � b � � <br /> 31 <br />