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Total Fee: $ Date Received: / D�, b � <br /> Entered By: Permit#: � �S� OD?j 7/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � All information must be submitted in fult before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: r /1� ZIP: ���1 <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 required 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 events will not be allowed. <br /> . r <br /> NAME OF OWNER: �I� PHONE: (home) ,� - ���� <br /> ..�-. (work) � <br /> MAILING ADDRESS: � ,�IJ CITY: D.�S,�-j� ZIP: ��� <br /> CONTRACTOR. • PHONE: /z-�9'g g�J7� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: ' ' CITY: ZIP: ���C.S— <br /> STATE LICENSE: # EXPIRATION DATE: .— <br /> ARCHITECT/ENGINEER: i� 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(des ribe in detain: � ' <br /> r <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $1,�j_� ) <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 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 SIGNATU . DATE: �l�'�Q� <br /> 31 <br />