Laserfiche WebLink
Total Fee: $ Date Received: o-a -d <br /> Entered By: Permit#: 2 <br /> CITY OF ORONO Ae6LDING 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) OnWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: z 43,r /Jy 2-� S H 0 tc-E 8r--- ZIP: S-f 3 G Y <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 0 No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: 6LA U,--- PHONE: (home)�SL Y 7-4- YS-?,s' <br /> (work) '? `/,P`/ d Y S S <br /> MAILING ADDRESS: YS3 S AJa,4-11-f CITY: ZIP: Sri 6 Y <br /> CONTRACTOR: 5 e cf PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure x <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): &06"3 6 ASA 'hC61<-J S T-A)" <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( SZ)Z) <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: G%� � �J ° DATE: /Q/27AY <br />