Laserfiche WebLink
Total Fee: $ fd 5$ C'�P v Date Received: 05� <br /> Entered By: Z9Permit#: n 42 <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: ��G� S /fid 2 i l-f S/f�2� �2i,�� ZIp• <br /> D 2 anjv / /41 N <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes MNO 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 available. Non permitted events will not be allowed <br /> NAME OF OWNER: 'i- /Z y,.4 A/ PHONE: (home) (/z 96S76.2/ <br /> (work) <br /> MAILING ADDRESS: 6 2 o N d ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: -7-�-ice, 2 0 6 6 MOBILE/PAGER: <br /> MAILING ADDRESS: 6 :22/ e,( CITY: E 6.NA ZIP: <br /> STATE LICENSE: # ac- EXPIRATION DATE: /?i/o G <br /> ARCHITECT/ENGINEER: �a /�f s. �� PHONE: 6,1.2- --?S'_0- fl/vv <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration _< <br /> PROPOSED WORK(describe in detail): <br /> // w ,�(ov��`�vi;r 1,,7,-/v42 STR✓cTvR✓�c «��9�JG t f' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building pen-nit 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: 91h c;1/0 <br /> 31 <br />