Laserfiche WebLink
e <br /> 5--/D-OSS <br /> Total Fee: $ 13q-c2f Date Received: 4 -55-05 <br /> Entered By: Permit#: AD$5 701, <br /> a <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 7-!O Put/ j ZIP: cc 3 s' <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: ( 1'I Git) /�(i'l`X� /' PHONE: (home) 9S . 41) 01/d <br /> // o (work) <br /> MAILING ADDRESS: 7 1110 0r'ohatA ad Pet CITY: Ql"0Aid ZIP: SSSS? <br /> CONTRACTOR: 7'JC Q/'iAN PHONE: L7 6 /( <br /> CONTACT PERSON: a r i GN t riv/' A 1 MOBILE/PAGER: <br /> MAILING ADDRESS: '2(10 aec4,,,ii ii- feat CITY: 0/'ONC) ZIP: SS-1S‘ <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: _ ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition D<<✓< Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): P. X af-i <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,)-060 <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: /�/�_ J DATE: 11/5141 <br /> 31 <br />