Laserfiche WebLink
� <br /> � <br /> � �I�f� <br /> Total Fee: $ •t� Date Received: � p <br /> Entered By: Permit#: �T,p`5" <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 /> JOB SITE ADDRESS: `�L�g ��.� PJ�'Q..P°( ZIP: ��5 3�_T <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 required unless applicant demonstrates <br /> sufficient on-site parking is avaidable. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��� � ��i Q �l(L�r� PHONE: (home)g5Z-404-g3¢9 <br /> o�0i=�0 (work) <br /> MAILING ADDRESS:t�4� �T}}Pl�l�°�p�A p CITY ZIP: �1 <br /> CONTRACTOR: ,�. QSC�-� �� 55��5 , 11•1.0 PHONE: ?�3�h72-2711.p <br /> CONTACT PERSON: �v�E }}��.��-} MOBILE/PAGER: ��Z -7'S 9-823� <br /> MAILING ADDRESS: e,O, BoX �33 CITY: fl�.LA1.do ZIP: ,�'-�� 3Z g <br /> STATE LICENSE: # 1290 EXPIRATION DATE: '2bo� <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�: e�rl � o(z.(41 F�4-i_� D�I� <br /> � Q�-11�T <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Cd,pD0 � <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 1 I � <br /> 31 <br />