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` � ///S. 3 S- --z 3 -O � <br /> Total Fee: $ Date Rece?�ved: � <br /> Eatered By: Permit#: / aZ �3 <br /> CITY OF ORONO -BUII�DING PERNIIT AP'PLICATIUN <br /> All information must be submitted ia full before plan review will be started. <br /> (please print atl injormatlon) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 3z2a �o�n� 5 �O'�Y1'� l,A{l� _ZIP: <br /> Will this be�arade of Iiomes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes No If yes,a specia!event permit}s required wi�h Polfce Depanm¢nr and City Council approval <br /> 60 days prl or to the evenl. ShuKle bus service wi11 be required unless applfcant demortstrates <br /> st{fjYelenl on-sfle parldng fs available. Non permit�ed events will nol be al/owed <br /> NAME OF OWNER: �__�p��,l � a4�l P� PHONE: (home) <br /> �� �W�� <br /> MAILINGADDRESS: �?7ZZD`��LI�( S��- C�� u. �� <br /> CONTRACTOR: ��,.nr,�W�1�� � `�ri�s Uv►ii M��f CI PHONE: (as�-4��34 ca <br /> CONTACT PERSON: 'rY1,A,rLc-__�Z�-i�e� MOBILE/PAGER: 1o�2-�t�9-lo8r <br /> MAILING ADDRESS: IDS r,c�• Z3�u 5�-• CITY: ' ►•.' S :5's-v <br /> STATE LICENSE: # $C 203�h 3C73S EXPIRATION DATE: D- <br /> ARCHI CT/ENG ER• AO�� <br /> G ADD S <br /> NAME• GIS. : # <br /> . TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(descrfbe in detai�: �►6�` � � fi:� br✓ �� fe �` �sy4'irq <br /> 1✓►l� r ' � `` ' � �''�-��C <br /> STORIES: y- SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED! <br /> e.rJ <br /> ESTIMATED CONSTRUCTION VALUATION(eacluding land): S �/d, ��C' � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accuiate; <br /> that the work will be in conformartce with the ordinances a codes of the City and with the State Building <br /> Code;that I understand this is not a pe it ork is to without a permit;and that the work will be <br /> in accordance with the approved plan. - <br /> APPLICANT'S SIGNATURE: DATE: 7 �3�5� <br /> 31 <br /> j •d eOZ ��i ZO EZ i�C <br />