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Total Fee: $_/ (;�9 .�{ �� Date Received: �-��S� <br /> Entered By: ;�-- :�z'r,'�` �" � b Permit#: U i b 2� <br /> 0 y/ s� <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 O CONTRACTOR <br /> Jos sITE avv�ss: ��� Clt.S�: ��' ��` zlr: 5�3� �- <br /> Will this be a • rade of Homes, Remoclelers Showcase Home or other Display Home? <br /> ❑ Yes O If yes, a special event permit is reqzrired with Police Department and Ciry Council approval <br /> 60 dc�,s�rior to the event. Sl�zrttle f�us service will be re.qi�ired unless a��plicanj�'emonstrntes <br /> sufficient on-site parkin�is available. Non permitted events will not be a[lowed. <br /> NAME OF OWNER: �� Y �-p`��'L ��`�"`�''"f PHONE: (home) �5 a�y�i-g�aa <br /> (work) <br /> MAILING ADDRESS: �'r CITY: Z1P: <br /> CONTRACTOR: ��!`k�'^� �� G�`�`� -�L- PHONE: �103 - 7&��3- l I 1) <br /> CONTACT PERSON: �' �, OBI E AGEK: 7�3- � 58�d�558 <br /> MAILING ADDRESS: �`/�� � �,�� V ��l,�w•� �+p� CITY: Z._�.x,-�5�1 IP: c�1 <br /> STATE LICENSE: # dt_ -k�5�-X„Se �XPIRATION DATE: 3 �3► � a��c. <br /> ARCHITECT/ENGINEER: /V�,� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition `� Accessory-Structure <br /> Move Home Remodel/Alteration �_ <br /> PROPOSED WORK(describe in�etai�: C�an��4' �-c� � �. S ��``-S� <br /> ���1, - vo�- �-r� �,vto l-hl,t�- - n,ro c.k�ti� � h�c.�,�.*- <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: U GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� � ��� ' <br /> I hereby apply for a building per►nit and I acknowledge that the informatiou 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 w k is no o s t without a permit;and that tt�e work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � � ��S <br />