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Total Fee: $ o2 33. ah , Date Received: / `� t` <br /> Entered By: Permit#: µ1 b 1-71 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: '�i7.S_3 �a�7�� 4&0 ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes tN 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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ZA2 it A 04 PHONE: (home) <br /> l ,F (work)6•/Z <br /> MAILING ADDRESS: 7 A5. /�r►k4 ae-' C CITY:()A-5�y/y ZIP: .SJc <br /> CONTRACTOR: PHONE:X,S/- <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 15/6,P, Dec,-,,6,,n --//z t CITY: ZIP: �2 6�, <br /> STATE LICENSE: #-'Z r 5--E7� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ X0O6 <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: 4"�f <br /> 31 <br />