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l <br /> .^ 'f' <br /> . ` <br /> �� � � . <br /> ' ��� <br /> Total Fee: $ ���� Z��J"O Date Received: � � �' � <br /> Entered By: ��P ' Permit#: � �('j ( <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[I information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O�ONTRACTOR J <br /> JOB SITE ADDRESS: ��� S' f�/�i�'��,- f�iG G /�p�� 7�p; s 5�3 5 / <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �i//D�N����-J�l���� �i 1> 's%.�`- PHONE: (home) 9s'2- y�G - �i3 0 <br /> �WOI'�C�(i/I-7Ie- 253�/ <br /> MAILING ADDRESS: �'�/ ,Sl�hrNG �i/l f?� CITY: !1.�f�rr-�'s ZIP: r's'3 9 / <br /> CONTRACTOR: y�c�Jo v�c>/D�Sf�G N !-�-: �> PHONE: :," .�> - �x,�- -�� r� <br /> CONTACT PERSON: �'"�,� �,��c,l � <,. MOBILE/PAGER: �-. . ���� � • <br /> MAILING ADDRESS:�ys"�r`k!,.�,� � -' �,�:- , , CITY: l ;r'. . ZIP: ;�:> <br /> STATE LICENSE: # � a 7 7 EXPIRATION DATE: 3/2//z o o �' <br /> ARCHITECT/ENGINEER: /iJ�'�'� ;�/1 �� l�r -- '�'` PHONE . - ' {;%� <br /> MAILING ADDRESS: ����/ v�N c!r� A.�� s� CITY: �,.-�;;,?-_5 ZIP: �•;' c'� <br /> NAME: v�//�i>�' � �-;�r �'' i�, ',.'-::, -.t,. > ,;� ,' REGISTRATION: # ��3� c, ;. <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) �_ <br /> **Any ecrrth moven�ent may require MCWD Review and Permit! <br /> PROPOSED WORK(describe in detai�:y���s�E� !.S�o�oo,� ,-��_r>- r ,,,,�< <_,���/ <br /> t f//',�c�_S,E.+,,s�;� J s�<��'�,�a., ..� , , � , �' � f�kir/�. <br /> STORIES: � SQ.FEET OF EACH FLOOR: � G S� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�� ;�1�� -'��'��• � `� <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: � DATE: D ,�O <br /> 31 <br />