Laserfiche WebLink
Total Fee: $ Date Received: "I`�,36�� <br /> Entered By: Permit#: — 119*7 <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 /> • THE APPLICANT IS: (circle one) OWNER O CONTRAC OR <br /> JOB SITE ADDRESS: /U. ,Sl ®k ZIP. <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o 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 /> NAMEOF OWNER: TAY LE L 20, PHONE: (home) S2 - Y 7z_7a 3� <br /> (work) <br /> MAILINGADDRESS: ABOVE- CITY: 0P0,k) p ZIP: <br /> CONTRACTOR: D M t- //''f PRo 1I E M 7- SPEC( PHONE: 0 <br /> CONTACT PERSON: til�Q�� f3 _ MOBILE/PAGER: T 5 i2 —q7 z-- 410 9.2 <br /> MAILING ADDRESS: Ko760 [yooh>i9DCITY: 1j6j,V D ZIP: 57 3 6 <br /> STATE LICENSE: # 2n / 7607 EXPIRATION DATE: 0Z3 t 10 F, <br /> ARCHITECT/ENGINEER: Lf ..-• 5 , (49 C-, PHONE: t 5 vZ -q 7-3 - VC)7 -2 <br /> MAILING ADDRESS: � 7o 0 Umof-a CITY: �Q p 04)2 ZIP: 5 36 5/ <br /> NAME: REGISTRATION: # 9 <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 detail): /�S�'.4LL <br /> 7 v O/N A) 0 Ll V? R,Lt k I 7-C-M EAJ <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 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 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: l <br /> 31 <br />