Laserfiche WebLink
4 • .. <br /> Total Fee: $ 3 3j,3,e5 Date Received: 9 /19/vie <br /> Entered By: 'vl Permit#: Q/ .P'" 00 <br /> U <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 OIh,CONTRACTOR <br /> JOB SITE ADDRESS: //,..CU tel/ (.)."3,)4 J 4 A... IP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [ No 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: iiy eUf�,2 PHONE: (home) <br /> (work) 702- 3C3- '1 Z <br /> MAILING ADDRESS: //5U D/Jy b� CITY: w � ZIP: <br /> CONTRACTOR: jjc/,/c///� ., /.7 <br /> A PHONE: q52- y 75--5 39 y <br /> CONTACT PERSON: A1dc MOBILE/PAGER: <br /> MAILING ADDRESS: 22.c./ f v,o I f ce., r�► kV CITY: Lv47 y›%A ZIP: SS 3S/ <br /> STATE LICENSE: # /G 7 EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 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 review and permits! <br /> PROPOSED WORK(describe in detail): ,2-p6c� g 4,,,, Jk,,�. J Dic. Duo& <br /> Not L'(.vl,�•c, t ws 7Z0, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J' 700 <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: 27,/X- DATE: q-/.0 0 l( <br /> 31 <br />