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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 OFrCONERACTOR <br /> JOB SITE ADDRESS: / co LJ ZIP: J 5 3(pL <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: )-&, w e \\-t_AA\r‘ PHONE: (home) l a - 23(0o- `l 80�- <br /> (work) <br /> MAILING ADDRESS: `` CITY: ZIP: <br /> e <br /> CONTRACTOR: 1_,t r;� �k A ONve._ v; s ,t . PHONE: -4-10-5- 913 <br /> CONTACT PERSON: s-)".) K \AI r, t, +- MOBILE/PAGER: (c la- .?-96- y 5$ <br /> MAILING ADDRESS: )o .140r14o CITY: n')cel e &no v.c,ZIP: 5550 <br /> STATE LICENSE: # 05 1 ,5 <H 5 EXPIRATION DATE: 3 j 3 i 1 ooe <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) k <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): -rem. —DCVc,,�,J re. - vc <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED X DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I l (.)00 <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 /> 7APPLICANT'S SIGNATU' : '� DATE: 5 <br /> / l <br /> 31 <br />