Laserfiche WebLink
o� <br /> \V Total <br /> 3(p a-� ' � � 43�c� <br /> \� Total Fee: $ Date Received: <br /> Entered By: o(vl� Permit#: /0/. --7/0.7"" <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 O R CONTRACTOR <br /> JOB SITE ADDRESS: 9-0 0,-()„4 1 P„\L jO Aa ZIP: 5-515:6 <br /> Will this be : rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes No 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: ' it( P l4-2rju f. PHONE: (home) %Sa---1?6-a-&SS <br /> /� (work) 611-?Y1-5- b/ <br /> 1- <br /> MAILING ADDRESS: 0 p,,j,,&,e( Ncrt 2(. CITY: Dr,,,.,v ZIP: 55156 <br /> CONTRACTOR: Set.4- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration X <br /> PROPOSED WORK(describe in detail): 7,.\-,-141J y 42,1_ ;.1f, ani ,0, ^� , <br /> lots Ito,t..-f^ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1£90 <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: /7r1 I 401011w DATE: I 0-2-6--0.5- <br /> 31 <br /> 3l <br />