HomeMy WebLinkAbout2006-project not done � � �J /v 0� (� J �l,c�s�-
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Total Fee: $ Date Received: ; ; i� �,_.�,-
Entered By:�,�� j�:- Permit#: .� i; �` -', �
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(pleuse print all information)
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THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: 13� D S PQ�� P'L��. zir: S S (;�f ?
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO If yes, a special eve��t pern�it is r�equired with Police Departrnent and City Council approval
� M fly� 60 days p�•ior to t/�e event. Shuttle bus se�•vice ivil!be reqzrired u��less applicant dernonsb•ates
sa�cient on-szte parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: T��`��'� ��15T��D^� PHONE: (home) 6 lZ °�6y-dQ�s
(work) 5 tp rn�
MAILING ADDRESS: �!�ZD L-D R1 N U �� CITY: I'�h1N N-e�0.�Ss�►ZIP: �6y
CONTRACTOR: 'S�I��''t WDO� �\ �'�� HONE: ,/
CONTACT PERSON: bd MOBILE/PAGER: b�Z 5�y- Bd 1 )
MAILING ADDRESS: _�,,�,�•� � A g��-• CITY: ZIP:
STATE LICENSE: # � EXPIRATION DATE:
ARCHITECT/ENGINEER: K.� �I'.¢�a�/� PHONE: �?3 g�� ���2J
MAILING ADDRESS: 4O � r'�ST L,.Ke. 31". CITY: _�,�p�i4 ZIP: SS 3 q(
NAME: REGISTRATION: #
TYPE OF WORK: New Home � Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detain: /v ¢-� '�,S���r�.
STORIES: �•D ' SQ.FEET OF EACH FLOOR: /y��'l )61 S/ 21?�
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHE _
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7�0� bd�
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I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate;
that the work will be in conformance with tt e ordinances and codes of the City and with the State Building
Code;that I understand this is not a permit a work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: �� ZZ - ��
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