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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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTO�t <br /> JOBSITEADDRESS: ��'��i; -- / �'�'•�' I( �_�,,� �/:�, <br /> i � �%r�✓,'J ZIP: <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 r•equired with Police Department and City Council approval <br /> 60 days prior to the event. Shultle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> A <br /> NAME OF OWNER: ��,�s� � ��� r ( ,,�2i `; .�� �' PHONE: (hame) YS� "�`/�4�''`��'_�'1� <br /> ,, � (work) <br /> MAILING ADDRESS:U'�i� 1,�.� fl:� �;._-„'j� CITY: �J�''v ZIP: <br /> � ' l�� � <br /> CONTRACTOR: l ' � , r�r � .>r���' ;� � �, �,� PHONE: �C: �-��7i '�'�Jo <br /> CONTACT PERSON: �'; ,�;,,, �;���, MOBILE/PAGER: �%� -y��- <�� �'�' <br /> MAILING ADDRESS: �:/�r<��,���s�- .,,� c; � '� ;�;; CITY: U?„a,->�� �"';,.,- ZIP: '���s s '� <br /> STATE LICENSE: #�' �'�- v 7 EXPIRATION DATE: � J �i j�o o R <br /> , <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(describe in detai�: %,�„ � �,�� r�%;�_ �'� -,� <br /> , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l� j , � �.� <br /> I llereby 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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> /,��'�� , '�, <br /> APPLICANT'S SIGNATURE�� ti•-�,- � „�;�,_ DATE: �,c� ,�,� <br /> ,� S � a�7 <br /> �i <br />