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, <br /> Total Fee: $ DateReceived: <br /> Entered By: Permit#: -� j 16Lp7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all irtfor�ncrtion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> . -- ---_.. <br /> THE APPLICANT IS: (circle one) OWNER 0�2 CONTRACTOR � <br /> __ <br /> JOB SITE ADDRESS: •:� c�� �v-1 � � . .�{� �, � ��t;(� �����y,�� (� ZIP: <br /> , <br /> � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, a special event pei-mit is r�eqziired lvith Police Department and City Coarncil appr•ovcrl <br /> 60 days p��ior to the event. Shuttle bz�s service will be regziir-ed zrnless applicant demonstrates <br /> sz ff cient on-site parking is available. Non-perniitted events will not be al[owed. <br /> NAME OF OWNER: ���'� � 'I PHONE: (home) (:� `� ' ` � �-''� z i-t <br /> C?�J <br /> (work) `�c,S�;..,r <br /> MAILING ADDRESS: CITY: ZIP: s� <br /> � <br /> CONTRACTOR: � � �- r ,, l , ,. , , .; , PHONE:�-� `;��`� �,� I <br /> CONTACT PERSON: � a �. MOBILEfPAGER:' -� i� � !�; `�l� <br /> MAILING ADDRESS: � � ` � �-� i CITY:�� ('• � �'� �E ZIP: ��-I� � <br /> STATE LICENSE: # ' � l. , EXPIRATION DATE: <br /> ARCHITECT/ENGINF,ER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �� <br /> Move Home Remodel/Alteration (ie: Siding, Windows) ;' �E � ^, ;,, � <br /> Any earth movement,may require.:,MCWD review and per '�s ! <br /> PROPOSED WORK(d sa�ibe in detcri�: '� ` � � ' � <br /> � �� `� r- -- ;,, ��'� F, i� , . <br /> � , � � 4 � � ., - �� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding landj: � L! �,� f.� �� . ��' �,� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill be in conformance�vitl�the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and�vork is not to start without a permit;and that the work�vill be <br /> in accordance�vith the approved plan. ,�, ,-, 1 <br /> ,'--�, � ' �1 ,-_ <br /> APPLICAIVT'S SIGNATURE� �1 � � DATE: � � � ��' <br /> �t <br />