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r - <br /> 4 <br /> Total Fee: $ Date Received: � Z�- n� <br /> Entered By: Permit#: (� �D�-��� <br /> �— <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 R CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: 7�j��j ����2�� �Ii P in�r l�re��`�� Z�: �� � <br /> Will this be a Parade of Homes, Remodele�s Showcase Home or other Display Home? <br /> ❑ Yes � NO Ifyes,a special ever:t permit is requir�ed tivith Police Department aru�City Council approval <br /> 60 days prior to the event. Shuttle bus service will be r•equired unless applicant demonstrates <br /> suJ�cienl on-site parking is available. �'on permitted events will not be allowed. <br /> NAME OF OWNER: ����,�AS PHONE: (home) �5 Z y�y�q�W� <br /> (�'o�) <br /> MAILING ADDRESS: �1�.� Cc��OQ1ri"✓�(Gv� D� CITY:C� 7 _ZIP:S�i-�l"�� <br /> CONTRACTOR: G>�-'/)�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(deseribe in detai�: �,�n/5 h �2�9 tJC� �25�/�`f7f' <br /> Scn�r� �n CU�'c'h -�'�.�.� �;l l oi� on Px �s�iN� ��r°,� <br /> ., <br /> STORIES:�� SQ.FEET OF EACH FLOOR: I :�����. -�� <br /> NO.OF BEDROOMS: J GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �`-J.``��� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> thai 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 permit;and that the work will be <br /> in accordance with the approved plan. � �,� �� �� � _ n�,��_ �� ��,, <br /> APPLICANT'S SIGNATURE: 1l 1,i2 T(���G4�L DATE: G' <br /> 31 <br />