Laserfiche WebLink
Total Fee: $ �a o�`� Date Received: g-2-3-ZOO <br /> Entered By: Q2jj Permit#: A 09v9 P <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 CONTRACTOR <br /> 0 <br /> JOB SITE ADDRESS: 0" &.1ci4 Re,4 p ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [ErNO Ifyes,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: -KA k A `�#,64MAd PHONE: (home)9s�--q7/-97.,e 4 <br /> (work)763-A/79-c26 99 <br /> MAILINGADDRESS: 61V5' ®f.® 5,_.1c_# fiyp CITY: 02cM® ZIP: .53-&91 <br /> CONTRACTOR: 41.k woS PHONE: &57- 4P3- 44W <br /> CONTACT PERSON: MOBILE AGER:( ,5r/_?3'3'-e3`P <br /> MAILINGADDRESS: 1W 0, Coin-r�f Rne G CITY: Sr. PAyL ZIP: S' //7 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILINGADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail):L,sWA <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 an. <br /> APPLICANT'S SIGNATU DATE: <br /> 31 <br />