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Total Fee: $ Date Received: �C' -�`����' <br /> Entered By: Permit#: f=J /;:. �/.1('� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � , ��� ;�_ .� ;�c :���= '�� <br /> �_ ., - <br /> (please pri�zt all informatio�z) - ' ' <br /> -------------------------------------------- --------------------- �:` ;, !,, � :, ; . .:".:�r. ,� /v/2�/�O C� <br /> -----------------------------------f------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 'Jr(�c O �jlA ��v�V1.Q� �V�OVI� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No !f yes, a special event pe�•�nit is reguired ivith PoGce Depaj�tment and Ciry Cozencil approval <br /> 60 days prior to the eve�2t. Shuttle bars service rvill be r�egtrir•ed au�less npplicant demonsh�ates <br /> sa fficienl on-site parkir�g rs avai(able. Non-permitted events�vill not be allo�ved. <br /> GnriS-�iav� k�.w�i I��L'ku.vr.�, <br /> NAME OF OWNER: �r.'�;,,,,�.�i� �/. ���y� PHONE: (home) q5.2 �S'�I'�'Z <br /> (work) l "S']GYo <br /> MAILING ADDRESS: �(D�'I rj I_I YIC.�t �('� CITY: I��C2v6II� ZIP: � <br /> CONTRACTOR: ' S21-F- PHONE: <br /> CONTACT PERSON: `—' MOBILE/PAGER C(p►2� 3oq-Sr]d(o <br /> MAILING ADDRESS: � Sctnn� as abov� - CITY: ZIP: <br /> �, STATE LICENSE: # EXPIRATION DATE: <br /> ���� ARCHITECT/ENGINEER: S'}t�,vY �Q2S�AV� P ONp s �S�'7��-S'a�S(� <br /> wee cu�o MAILING ADDRESS: 3or7 !-�e.s-Ee� JI1MIM�.Sf CITY: ZIP: p� <br /> a`"d u"�s - NAME: �,�-}�,vY (wife - Calleev�l REGISTRATION: # <br /> uerrl�y k�s <br /> fIv►K �losed <br /> ,i,�,���V�� TYPE OF WORK: New Home �C Addition Accessory Structure <br /> Oh a�-���,• Move Home RemodeVAlteration (ie: Siding, Windows) <br /> �� w�� Any earth movement may require MCWD review and permits! <br /> �a,y�,loe. PROPOSETJ W�RK(r�escribe ira rdetcaen: B�t,tic� C�}'}ct4C DV\ �5fq ��q.Vt�� <br /> Y�d ( �r�.l.�.�.� le�--�;4I.� ��4�s�"-��•►� <br /> a.-�' �S�'l) °�` '1 t" <br /> 645-265(�. STORIES: Z SQ.FEET OF EACH FLOOR: �1'�'8�I '�" uh�e.v� I000 Sccov�c.11=7unr� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED O DETACHED O <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � 3�J4�OC '" �� <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 perniit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � , DATE: �0 � D� <br /> 31 <br />