Laserfiche WebLink
. c�.�-� �-� �o� <br /> Total Fee: $ ���• �� Date Received: 3"� d� <br /> Entered By: Permit#: �b 97D o2� <br /> -�' <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: �I`J Q O �'�(, ��'�-�- ZIP: `J��5 <br /> Will this be�arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a specia!event permit is required with Police Department and City Courrcil 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: ��� ���1 S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �lS pO �' ��� �I�., CITY: ZIP: <br /> CONTRACTOR: 1 1�L,�i,��J �5�-�1(4� PHONE: ��Z 22 Z�'jO <br /> CONTACT PERSO : S�4� "�O SG� MOBILE/PAGER: !v t L SS'(o <br /> MAILING ADDRESS: S°�(o4 �Z'k U�'a? ��� CITY: @�l"v1,S ZIP: S l,� <br /> 5TATE LICENSE: # 20`:. `�p� �S EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �'� � ����T� PHONE: Cet2- �'LZ 2� <br /> MAILING ADDRESS: S GP (J"Z.ti �C� /�•��SOCITY: Yl (.,� ZIP: '� � Z� <br /> NAME: _ 5�,4'Ct �S`-� REGIST�# `2 � <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 detain: .1�0 1� ` " �l �,Q�,�,S '�-� � �{,� � <br /> 1� l, hl ' t�0 �1 '3 <br /> STORIES: ���L SQ.FEET OF EACH FLOOR: '�S(� S��� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED '2 DETACHED_ � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 22 ,S Q�� �(� <br /> I hereby apply for a building permit and 1 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 perm' an wo 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: � <br /> 31 <br />