Laserfiche WebLink
5� �5, � <br /> � _ Total Fee: $ �U� ' Date Received: � a <br /> Entered By: Za� �rz�Sr� ��'/�- 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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: t;� �7 7 ��r� ,�� j�zlP: �-`�� �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �,lv0 If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reyuired unless applicant demonstrates <br /> , sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: /L�,�,v �-1na �� ��'�� ` �t u-vr�`� `� PHONE: (home) �S� -4�7,-Ja..l�j <br /> W i l 1 I,c::i vn H - i �s� (work) cIS� -4 7� 3 .�-1�. <br /> MAILING ADDRESS: � �, -� � n,�r f f� �r,,1,, � �CITY: G,��p ZIP: 5 13 G�-/ <br /> CONTRACTOR: ��� PHONE: ����,--�}7�-?��,� y <br /> CONTACT PERSON: /1,,L�7,q-�i�ii I/I/r l I �C.�vt�c MOBILE/PAGER: «/S� -a,G/Z-1 �--I 8' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> C-�Q_V'�-c�,� <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(desc�•ibe in detai�: ,;1 G�'����,� .�T-v(�/1{,� SN-�,�S <br /> STORIES: I SQ.FEET OF EACH FLOOR: �� <br /> NO. OF BEDROOMS: D GARAGE STALLS: ATTACHED DE�ACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � <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 wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �y�b7�� ��',C-Q�C"c;�7 DATE: I D/ �b�_ <br /> 31 <br />