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Q+-S ov S 41 AAcA Se 76 AC K- 0 F �X ` S_ t <br /> Total Fee: 34 Date Received: <br /> Entered By: Permit#: >7 5-73 _ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> all information) <br /> (Please� print_ f ) <br /> THE APPLICANT IS: / (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 6 CJD Dl','L-e S ZIP: S S q <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> [:] Yes [NNo 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: e PHONE: (home)�So� y�{9 6 S 37 <br /> (work)dla 9.14 So 67 <br /> MAILING ADDRESS: IgoCy,'��o�✓ 171 �e � CITY: _/21� .�� ZIP: s--'5-39/ <br /> CONTRACTOR: P_ I F PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure _/1( <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> PROPOSED WORK(describe in detail): e S <br /> 1 C,J(7e -I <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ar 2 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 700 '_ <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: <br /> 31 <br />