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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 R CONTRACTOR <br /> JOB SITE ADDRESS: L/U, l 0 CU ; S. ZIP: -CC 3`1 I <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: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /� CITY: ZIP: <br /> CONTRACTOR: <��,A c\\�„-cc CIA))-(2(I; PHONE: (0IZ—ZGZ -"Sa-/ I <br /> CONTACT PERSON: )ecr y El I ‘b tr MOBILE/PAG R:/ 5„x,„2,_ <br /> MAILING ADDRESS: t o y- S 1.0c-c)-c) L.4k er/, CITY: (�t�cf}kl ,uN ZIP: SS 308 <br /> STATE LICENSE: # 202_/ ll-73 EXPIRATION DATE: 3 -3 1 - o <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): _ a r OLv;N\M ��( ;kJ) <br /> STORIES: 2_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> az) <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 5e5o <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 pe it and work i •et to start without a permit;and that the work will be <br /> in accordance with the approved pla <br /> APPLICANT'S SIGNATURE: • )ATE: Ih Z3 <br /> 31 <br />