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<br /> Total Fee: $ � � �C� Date Received: � � ��-'�
<br /> Entered By: � ,� ��,,% Permit#: �'�/,�/ �% �'L
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<br /> CITY OF ORONO -�BUILDING PERMIT APPLICATION
<br /> � �i�'�� , ,,
<br /> All information must be submitted 'n full�bef e plan revie��wi started.
<br /> (please pf�'iat all i�ifo siaatio�i) �
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<br /> T'HE APPLICANT IS: (circle o� ) OW 'ER OR C-ONTRACTOR �v:X;,,d-�-(�{��'``�= �� ��-
<br /> � �� � �... �� � � �
<br /> JOB SITE ADDRESS: ,;�; .�� , _:::�`^�� �� �'m � �°�,ZIP:
<br /> • �3 ��
<br /> `�'i�l this be � Parade of Homes, Remode'ters Sho�vcase Home or other Display Home?
<br /> ❑ `�'es i�'� l�i o If ves, a special event permit is reguired tivith Police Depard�tent a�id Cih�Counci/�rpprovc�l
<br /> 60�la��s prior to the event. Shuttle bus sen�ice will be required unless applicantdemo�ish�ates
<br /> su�cient on-site p�u�king is available. tVon permitted eve�:ts will not be crllotived. �.
<br /> , ��
<br /> I�,T�'IE OF O��'NER: ���i�;,��; �f' _ �;F,��':°,;,� PI�[ONE: (home) ���.�.. - :.�.�.�%
<br /> , . � f�, (�vork)
<br /> lO�AILING AI)D�2ESS: ���'�,� �,:p s�:3:�- ��= CI'T3�': �;...�� .%�%�r.�"� ZIP �-
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<br /> � C'O�1'T�2ACTOR: , ���`�. ��; ;...r �� :_. �� __ �, PHON�: ,_.�•r���r.: _�,,�
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<br /> CONTA�T PERSON: 1�� �,�� ,��_.�:'�:y, IVI'OBILE�'AGER: �,�.`'��l �.�:�;_a �;�_ �:,`
<br /> 1VIAILING ADDR�SS: ' �, � . ��' ��`�`Y: � ZIP:
<br /> � � �:�_ �.��, ��
<br /> STATELICENSE: #�r� �-•�';�"� � ,': � EXPId�7CYONI)A'I'E: �,N;�,
<br /> _�; �, � �� �� �a� _
<br /> Al2CHITEC'T/�ENGINEER: �� �,� ;�= ;� ..�� , l � .� � ���
<br /> , :� ✓�;�+, , u:; PHONE: '�� v
<br /> NIAI�INGADDI�SS.�,;�"�� r ;-' �_� _ �-. �., CI�'�':�iH;i�.G� .r. 1�:.' �-Z�P: �� ��'�:�� ,
<br /> NANi�: •��,�` �� ,� t � �,r �� �GIST�2A'TgON: � �;�,�'%--=� _
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<br /> 'I'YPE OF �VO�ZK: New i�' Addition Accessory Structure
<br /> Move Home Remodel/Alteration
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<br /> �1gOP�SE��d'O�K(describe iri detail): /'t 1.� ,, } , �,�, ��- � .....,
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<br /> ����l�t��i: �_�'�, �J�.��t'1�'�r��'4`������..,��Y'�: �-- r . __
<br /> i�T�. �,� ��E�'���1_!�'�S:_ � =; ��$�.��� ��'AIL�"�; r"��'�'�����+� _� ��'T"����+ �_
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<br /> �,5�'Ii��Ah���'��iS�'�Z�JC�'��i+;`�A�,tJ:��i�'(exc��ar��b��a����,� �`� �.��� ; , �A;�.,,,
<br /> l��`r' �- _. "-f�,. ,�+. ,.,.,,���_',-' '� , �- ��-.=i i� �� �a j..��' ,.,;
<br /> 1 hereby apply for a buildinb perniit and I acl.no�vled�e that the infonnation abo is ycomplete and accurate;
<br /> that tlle �vork�vil1 be in conforn�ance �vith the or � a ces and codes of the C� y ana with tile State Buildina
<br /> Code; that I untierstand tilis is not a pern�it and -or' s ; �vithout perrlit; and that the work�r�ill be
<br /> in accordance with the approved plan. i ; �' �
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<br /> �PPI,���N�''S SIG�A'I'IJ�: % ��i�:
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