Laserfiche WebLink
� ,��` �� � �v <br /> �� (y� <br /> �� Total Fee: $ � , �' Date Received: '����-y U l�-' <br /> Ente�•ed By: ')�� Permit#: �S — � (e <br /> , �aL;�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review wil( be started. <br /> (please pj�i�zt all ijifot•matioil) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: �Cll�cle o�ze) OWNER OR ONT <br /> JOB SIT�ADDRESS: /��� 7ar� �.r. ZIP: �S 3 � 3 <br /> Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a specinl event per�nil is req�rii�ed i�vitll Police Department and City Cozrncil appr•oval <br /> GO days pr•ior to tlze e1�e�7t. Shzrtt(e birs ser•>>ice rvill be reqt�ir•ed�u�less applicant dernonstt•ales <br /> sz ffrcie�7t on-site parking is available. �Von-per•��rittecf e7�enls ivill not be allolned. <br /> NAMEOFOWNER: t'�uYk ��� `��.,._ �A_�+..-. PHONE: (home)�1���Z� �°� <br /> (wocl<) �2- C�}s <br /> MAILING ADDRESS: J r-I+�f 7 F7o�r k ��r- CITY: (,�r-c>•1c.' ZIP: S S 3� .�S <br /> CONTRACTOR: 1'U�ic�nc.�I Cze.I��s Cucti�.L. L"t PHONE: lv/Z�p i - i 7`�� <br /> CO�'TACT P�RSON:��� ��.II� S MOBILE/PAGER: <br /> MAILINGADDRESS:�1�3a�. �'L�-, e4,.�. CITY: ��el�.�.� ZTP: �s 3 � � <br /> STATELICENSE: # .:�oo�i9s'� �YPIRATIONDATE: <br /> ARCHIT�CT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1�1E: REGISTRATION: # <br /> TYPE OF WORI{: New Home Addition Accessory Structure X <br /> Move Home Remodel/Altecation (ie: Siding, Windows) <br /> Ar_y earth movement may require MCwD review and per;nits ! <br /> PROPOSED WORK(rlesa�ibe i�i detai�: j�,�,,.,,t�,c e�C�s_ �_� c,,�� �r-� rl� �a�-e <br /> � � �� � � `����- +�,.�+,� <br /> STORIES: �, SQ.FE�'�'OF EACH FLOOR: ��S"� xuE:;.-, l���e l <br /> NO. OF BEDR001ViS: GARAGE STALLS: A�'TAC�I�I3 D'ETACI'�EDLC <br /> ESTIMAT'ED CONSTRUCTION VAL:UATIO�(excluding lancl): � �S��•o n <br /> I hereby apply for a building periiiit and I ackno�vledge that the information above is complete and acc�u�ate; <br /> that the�vork will be in conformancz with the ordinances and codes of the Citv and with the State Buildin� <br /> Code; that I understand this is not a permit and�vorl:is not to start��ithout a permit; and that the��-ork will be <br /> in accordance �vith the approved plan. <br /> APPLICANT'S SIUNATUR�,: DATE: l� � <br /> 3t <br />