Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
B�ild� Permit Application # �_r�Z� <br /> { D <br /> DENIE <br /> � ljo2g <br /> Reason(�9��'�@�at: $ Date Received: <br /> Entered B • Permit#: � 2Z/Q% <br /> SGG �► <br /> Statf: _�_T�ja� ORONO - BUILDING PERMIT APPLICATION <br /> �y o7 <br /> All information must be subrnitted in full before plan review will be started. <br /> (plense print all information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1�����Or� tIY,YYI �r�Y� ZIP: �v-���J� <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event permit is reqa�ired with Police Department and City Council app��oval <br /> 60 days prior to the event. ShuttJe bus service will 6e required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted evenis 1vi11 not be allotived. <br /> NAME OF OWNER: �-�fr�G� t' U V 1,� � (CE./Y1S PHONE: (home)�lu��i 7 oZ( �j <br /> (work) ��� <br /> MAILING ADDRE5S: (�i�7 �f�� �-r wi��CITY: �{�U V�GL ZIP:;�"y��� <br /> CONTRACTOR: �'L'LGX�n(� -� �/'1,�, I. LC(.!'Yls PHONE: <br /> CONTACT PERSON: ��p yy�, MOBILE/PAGER: .. <br /> MAILING ADDRESS: S � QS 1�L� CITY: ZIP: <br /> STATE LICENSE: # �', LU Y�JV � �1/tOf�S� EXPIR.ATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTR.ATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �( _ <br /> Move Home emodel/Alteration (ie: Siding, Windows) <br /> Any earth moveme may require MCWD review and permits ! <br /> PROPOSED WORK(describe i et i : ��,Y' — � �"�d yy� <br /> STORIES: J,/l�- SQ.FEET OF EACH FLOOR: /'V�/a- <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � /o, ��� <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:l�tLh 7��/�-��� DATE: S� I D 7 <br /> 31 <br />