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C°'� <br /> .�� <br /> , � <br /> Total Fee: $ Date Received: � � y�� �j <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 inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO_ R � <br /> JOB SITE ADDRESS: �U yv G��: L�-����` ,./.}�Z ZIp; �� S � 3�� <br /> Will this be arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o If yes, a special event pern�it is required lvith Police Depnr•bnei�t and City Counci!approval <br /> 60 days prior to the event. Shuttle btas service wi(l be i•equired a�nless applicant demonstrates <br /> sr fficient on-site par�king is available. Non-�ern�itted evej�ts ivill not be allotivecf <br /> NAME OF OWNER: ��.G�, ���.��o�•-cr PHONE: (home) ��—1�G�' ��`��1 <br /> (wock) <br /> MAILINGADDRESS: `j��`1 %�Z�r �l< �Jr. CITY: ����� ZIP: ss�r3 <br /> CONTRACTOR: (�u��a����.=t-4nK.,��.�, ,��C�(�t�'�� PHONE: `lJ 2-Z Z3�fa�v�y <br /> CONTACT PERSON: __i��, ��C�� �� MOBILE/PAGER: �ii Z- %i�� Z��Y <br /> MAILINGADDRESS:�I7,3t>5 C'ez.i'�-•--4L-r S CITY: L�tke.f��� ZIP: �3 SQ��-'y <br /> STATELICENSE: # i�C� — Zc��/(:.vns� / EXPIRATIONDATE: ��3� 3F-�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF W012K: New Home Addition Accessory Structure <br /> Move Home Remodel/Altecation (ie: Siding, Windows) _�_ <br /> Any earth movement may re uire MCWD review and permits ! <br /> PROPOSED WORK(desc�•ibe in detcrin: 'l��;s�:� C���. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $���,�Z'� <br /> I hereby apply for a building permit and I acknow(edge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe City and with the State Buiiding <br /> Code;that I understand this is not a permit and work is not to stact without a permit;and that the work will be'. <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �' Q �� <br /> 31 <br />