Laserfiche WebLink
, � <br /> � <br /> �(�3 � <br /> Total Fee: $ •57`�• � DateReceived: �'�L' ����-I�- <br /> Entered By: Perzxzit#: L�� -�� � - ��.-� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before glan review will be started. <br /> (please pf•i�zt all infor��zation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT !S: (circle one) O`V1VER OR ONTRACTOR <br /> S �a r���no r� � �°�� S�?,6 <br /> JOB SITE ADDRESS: �� g �1'�•� � ZIP: <br /> `Vill this be a Parade of Homes, RemodQlers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event per-mit is reqarired wit7i Police Departme»t and City Council appr-ovol <br /> 60 days prior to the event. Slzuttle bus service will be required unless applicant demonstrates <br /> sa�cient o�z-site parki��g is available. Norr Per•mitted events will not be allowecl. <br /> NAME OF OWI�TER: �C�2 r" � {'o.�n1�:�lt PHONE: (home) ����y � `y ��� / <br /> � g � _r l r�� (work) <br /> MAILINGADDRESS:3�� o��n � (' CITY: f-O�t� ZIP: 5 53 U � <br /> co�vTx�cTOR: c �exo�:�� � '�4 5- 39 3`� <br /> CONTACT PERSOv: S�-�-�' a ��. MOBILE/PAGER: � ► �.- �..y� -� � ��,$ <br /> MAILING ADDRESS: t 1 � �f L•;,�v-aS -E'"�-rk.��;v e CITY:YV�_v��t;r,�i(u ZIP: � _S 3� d— <br /> STATE LICENSE: # �� - �-1 F� b �- EXPIRATION DATE: �� /'3(/ C� <br /> ARCHITECT/ENGINEER: PHONE: <br /> N�AiLING ADDItESS: CI'i Y: ZI�: <br /> NP�!�iE: REGIS�'RATION: # <br /> TYPE OF WORK: New Addition Accessory Structure -✓ <br /> Move Home Remodel/Alteration <br /> PROPOSED�dOJR�(desct�ibe in detai�: � � X ( 4 k `� a �j�p �-�-p�, � a,���p G <br /> �/`�-'�-� �a-,�-�;�-c-.,,,����� -- Jlo=1„ r. Y�� .J <br /> SB'ORIES: SQ.�'EE�i'O���.CI��'�OOR: <br /> I�O. OF �EDROOidIS: G��2A�E S'I'�Y.,I.S: A'TT'A�I��� DETACH�� <br /> �STII�IAT'E3) CONSTRLTC'I'IOIV VALLJA'I'IOI�i(eYcluding land): $ �- � �� <br /> I hereby apply for a bui?ding permit and I acknowled�e that the information above is complete and accurate; <br /> that the work wi11 be in conformance with[:7e ordinances and codes of the City and with the State BuildinQ <br /> Code;that I understand this is not a permit and work is not to start without a permit; and that the work wi11 be <br /> in accordance with the approved 'an. <br /> A.PPLIC��T'S SIGNATURE: DATE: � �� �l D� <br /> 31 <br />