Laserfiche WebLink
Aug-30-200T 11:07am From-CITY OF ORONO +9522494616 T-661 P.001/002 F-998 <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 NTRACTO -----� -----� <br /> JOB SITE ADDRESS: 57o O ro r, O © rc(/tc1 rc/ /e ` ZIP: s 5 39 l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NI No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: / 0 p✓ iln S O e' PHONE: (home) g SIC(-1r2a <br /> (work) <br /> MAILING ADDRESS: .5c1 kZ .t CITY: ZIP: 553 a I <br /> CONTRACTOR: Jtkro t Qom;144 Coo-(red c ' PHONE: 76 3 - 692- 0 L Z <br /> CONTACT PERSON: jo(n, t v r MOBILE/PAGER: ( 2 2 4 Sl9 <br /> MAILING ADDRESS: 5 11 60 I'ldr. A✓.c 5 w -CITY: 6,7c-6 /v ZIP: 13 <br /> STATE LICENSE: # 203 y g <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: _ CITY: �--. ZIP: <br /> NAME: REGISTRATION# �.. <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move _ <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): `1-4 ,1✓ /45 S 41,ns (.S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ , O O O • 0 d <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: _ — DATE: 115 " Q 7 <br /> r -- <br />