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a <br /> . �y�, ?-�-o� <br /> Total Fee: $ 7''�'3.�� i' 2 •d0 -�oY' S���� Date Received: ,• Z� •�� <br /> Entered By: Qf� Permit#: /�} (�J.3� <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 /> THE APPLICANT IS: (circle one) OWNER Ol�CONTRACTOR� <br /> �. <br /> �, � � � -....__._.._..__--.___-�---- � <br /> JOB SITE ADDRESS: 3 � � �� �"�` v t� ��' �-.�^�� ZIP: > > 3�� <br /> Will this be/�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes NO Ifyes, a speclal event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted evenls will not be allowed. <br /> NAME OF OWNER: �j� � '� ��f �1� SC.Z,t�,�- a� PHONE: (home) � �� LI�`� � ��� � <br /> �� (work) <br /> MAILING ADDRESS: �j`� �1'� ����f c �% CITY: �< �� �� ZIP: J�3�b <br /> CONTRACTOR: - �C ���•-,t Z �•.�� � - ;y =�y�C PHONE: `i %� 1-I�J C,' 6�7�� <br /> CONTACT PERSON: �,,�� Sc �-,�•�� 2 MOBILE/PAGER: f, � � 3�^� -�'��-}� <br /> MAILING ADDRESS: j�'� �'��,��' �;,��. p,v�� CITY: �\��, �"�.� ,��., ZIP: �c`�1 <br /> STATE LICENSE: #_?c,-Z--Z EXPIRATION DATE: � • �,.r-•, �- ,� <br /> ARCHITECT/ENGINEER: � I-�L �� � < 11..�CC c'�5 PHONE: ��'� `--� =�� - I�'�S <br /> MAILING ADDRESS: �3 J 7 S"�c-.-:t,��. � :� CITY: ��y Z•-_��t� ZIP: S S��`�1 <br /> NAME: j-�,-��, � � REGI5TRATION: # <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�: <br /> �� � � � 1 - ��r� ��n 4 s��, ` �- <z <br /> c'• lV �� , -• ) ,... � �' <: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � � � ��' ' -� <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 confarmance with the ordinances and coc�es of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not�to st�t'tvithout a permit;and that the work will be <br /> in accordance with the approved plan. i� � '' <br /> .afr�, <br /> _. p <br /> APPLICANT'S SIGNATURE: ��� � +�� � l � �'I� �� <br /> DATE: J I <br /> ;� <br />