Laserfiche WebLink
Total Fee: $ Date Received: 7-2i?-Ok, <br /> Entered By: Permit#: A/O/55 <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 b R CONTRACTOR <br /> JOB SITE ADDRESS: 3jc, I Wyi l ( (SYS I I U-c V" ZIP: SEW <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes XNo 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: 6VIA e eS �-V1ShaPA ❑y1J<1'kA PHONE: (home)2' g1S_6z0$ <br /> (work) StfMC <br /> MAILING ADDRESS: �E AS &WE CITY: ZIP: <br /> CONTRACTOR: N/A PHONE: <br /> CONTACT PERSON: E�V\y1 Ukvy e°an MOBILE/PAGER: , S - -140l <br /> MAILING ADDRESS: CITY: ZIP: -LN S_o2US <br /> STATE LICENSE: # EXPIRATION DATE: ivsf) <br /> ARCHITECT/ENGINEER: s,"I 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 rev' w and permits ! <br /> PROXOSED WORK(describe in detail): D X <br /> C&v_-"Cb cda.v- 1oeRr,tn S <br /> Vef L11 i-`PA YX4, - S x8 ✓A%LAO VA y S�ypio ��t�c�vtt�s�� <br /> STORIES: 11z_ SQ.FEET OF EACH FLOOR: ? 3qbo -tr-jao <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ( t7 , t3).,�C7 <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 per nd 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: i tc Q Q(p <br /> 31 <br />