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� �� <br /> ,��i��o <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: ��SC� �1�G1� ���. ZIp; 553°t � <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 approva/ <br /> 60 days prior to the event. Shuttle bus service will be reyuired unless applicant demonstrales <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �� 'E��N��� E rJ vLL-' ?Z. PHONE: (home) 95Z- y-1 1• 0 9 '�-3 <br /> (work) (012• ��o • -�1b$ <br /> MAILING ADDRESS:3'��0 �3��.GFI LH�J� CITY: W�l'f ZAi,!} ZIP: 5539 � <br /> CONTRACTOR: F2iEDg�� �'�N�rt��TS y- �v�c,D��s PHONE: 9SZ 'S$g'7U�b <br /> CONTACT PERSON: D AN ►�!u� l�l MOBILE/PAGER (o I 2- g(o�-. $�g ) <br /> MAILING ADDRESS:zZ3�s �D b��,.,00a �►v��•s- ciTY: 5�'• Lov�s ►�A�t�ZIP: 55�2� <br /> STATE LICENSE: # 17 7 Z EXPIRATION DATE: <br /> ARCffiTECT/ENGINEER: W�/k2 � (�(/�UST�� PHONE: �oJ � � �D`}'S-'�z�� <br /> MAILING ADDRESS: Z�5�010 ELu S �V� . CITY: S�'- ��""- ZIP: SS�I �— <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) x <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detui�: I��w.Di��L. IC lTGrl'�,1� , Q�h'�oi7�{:. <br /> �1�-n-�12-b�1� -r <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����J O� <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 wit e ordinances nd codes of the City and with the State Building <br /> Code;that I understand this is not a per� t nd work' n to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I z I 3 <br /> 31 <br />