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, / <br /> Total Fee: $ ���� � �� Date Received: ���`��=1�1 -,���,(c� <br /> Entered By: _i '�� Permit#: {�,� `? '�,i �� <br /> CITY OF ORONO - BUILI)ING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print�IL infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) �OR CONTRACTOR <br /> JOB SITE ADDRESS: `��°U ��(��J� ZIP: �� <br /> (��'ti�� <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS o If yes, a special eve��t per•��rait is r•egi�ir•ed with Po(ice DeparU��ent and City Coamci!approva! <br /> 60 days prior to the event. Shtdtle bus se�vice will be reqa�ired unless applicant defrronstrates <br /> sarfficient on-site pczrking is avnilable. Non-per�rrlitted events ti-vill not be allotived. <br /> NAME OF OWNER: �-S �-'� < <'"�- � ' °``�'`( PHONE: (home) �S �-- � l �"d � � <br /> (work) —(3� � <br /> MAILING ADDRESS: ��(�� f-�C �Lc�.F��-�� CITY: �ovt.o ZIP: S'�r3 S� <br /> CONTRACTOR: �'3 g ,J -S����c����� 5 ��..� C . PHONE: C i Z � 7 c; 3 � 3 �3 7 <br /> CONTACT PERSON: S`� r� �Fq-���� MOBILE/PAGER: <br /> MAILING ADDRESS: '4'�C�S.Z N:}rv��'� F}v-c. CITY: /�",�t\l�.ti ZIP: �; '' �3! <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: (1')r�T�i���v �'►1 Fa L ;��Z n, �, �� PHONE: (� I z -4:�1 - 7 � �5 <br /> MP_��TNG A�D�SS: C +J. 3"� 5� �w.� � c CI��'. �I I/v T�'L6�o}� , ZIP: 55''i a � <br /> NAME: A:4 v;-d� /►l o�t �c;��•.�(c. REGISTRATION: # /'�l 7•S( <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 i�z detai�: ��e..��.-,.��° �F}Si r�£N��' i=C���_,v�{«}+ cn,� �'C <br /> �,���: w �r�-� s�GcS /�E��.R�t �.Qw��.� �.�.v�z� W , ti�a��,� �:; �-�. ►�►a�z�.��. �,,,zz�, ts <br /> �N1�:�..\��r � 5ht��r�zc�cK B�sErr���t.'� Ff}o�; l� (�c�,�:��jt� �.•:.�� ExS;si-�-N,� F►2o,��� ��r.�h <br /> STORIES: SQ.FEET OF EACH FLOOR: r o::� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z � � �s � <br /> I hereby apply for a building permit and 1 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 /> APPLICANT'S SIGNATURE: l�` DATE: � � b <br /> ��D�f�'1�'�x�- � - <br /> �� <br />