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� <br /> � <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ( �j� -.c�'� <���� D C— ziP: ` � �l <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 demanstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 1 c2�� �M ot ,��.e���(' PHONE: (home �S� ����.�`"} �� <br /> ` (work) <br /> MAILINGADDRESS: ��. I c�� C��� �� CITY: C,S�,Y�CJ ZIP: �S�' <br /> CONTRACTOR: ' � I� '� PHONE: ��;�-`�3-�;�I C <br /> CONTACT PERS N: I�,�;,,�,�,� `��'�,,���,�t__ MOBLLE/PAGER: <br /> MAILING ADDRESS: �i,�����h�,,�1� �l�w;� �P 1�.,�...�CITY:�1��l y,� c��1�e C'LIP: �� � � �� <br /> STATE LICENSE: # �?,, �->>'� �, Z EXPIRATION DATE: JI 2��I c`l <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): � '` • <br /> ���--1 ' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ i � , � (�. �j � <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ardinances 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 SIGNATUkE: � ,- ) �� DATE: �U/ '7/�v <br /> - �, �-�---- <br /> ''J <br /> 31 <br />