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o c s <br /> -r k I rV S V_ <br /> cd- 11 <br /> Total Fee: $ (p^].l rj + I .S68.6r— Date Received: 1SI)= -�� <br /> Entered By: t/ 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 CONTRACTOR <br /> JOB SITE ADDRESS: L/r g(J ,/L,,,,z G 2a ZIP: L <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes n 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 allowed. <br /> ermitted events will not be <br /> 1-3 <br /> NAME OF OWNER: b/1 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: i44z . tr <br /> 1 PHONE:ica?).>->-,c D(> <br /> CONTACT PERSON: MOBILE/P• GER: 15,1 1? SCJ <br /> MAILING ADDRESS: �i'' �� ; ITY: ao,„ ;,; _ ZIP: � � <br /> STATE LICENSE: # / %-� EXPIRATIO DAT : <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 /> PRp.•OSE 1 WORK(de cribe in detail): <br /> _ / « � _mss_" .r _ i. _'' �� / vLr / <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / S� B <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 ape o nd work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. / <br /> // / <br /> APPLICANT'S SIGNATURE: / <br /> , _ � DATE: <br /> 31 <br />