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5 � <br /> t <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> THE APPLICANT IS: (circle one) OWNER OR CON(9ACTOR <br /> JOB SITE ADDRESS: IOUI_J 2n I1na ZIP: <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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Ayyin aym 1 PHONE: (home)I bi 11 <br /> MAILING ADDRESS: im-ro 1 WI o UJ CITY: work)ZIP: (� <br /> CONTRACTOR: SELA ROOFING & REMODELINV-:' PHONE: 15 71ZZ <br /> CONTACT PERSON: 4 1VU EXCELSIOR BLMOBILE/PAGER: <br /> MAILING ADDRESS: 554It-ITY: ZIP: <br /> STATE LICENSE: # 19#000 1 oo XPIRATION 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 Re�model/AIteration (ie: Siding, Windows) <br /> P WORK(describe in detail):y1 1 tpay 00 `ii 1.Iaft <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1,/COO <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: M DATE: O o V 1 <br /> 31 <br />