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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 a[l information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> � /� <br /> JOB SITE ADDRESS: 1��s r�� �,�- ��/bl20 ZIP: c=z��T <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 10 If yes, a special event permit is required with Police Department and Ciry Councid approval <br /> � ' 60 days prior to the event. Shuttle bus service will be reqa�ired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: C.��E' ��_P�' PHONE: (home)�6� ��•�-a�o� <br /> / /�'� (work) <br /> MAILING ADDRESS: �/�� LD�'�'4 ��� /7vc.CITY: �l�'out� ZIP: ��� <br /> CONTRACTOR: P � ph (�G1�, PHONE: 6 �`��- �6/y <br /> CONTACT PERSON: o U e MOBILE/PAGER: �a oz3a- � <br /> MAILING ADDRESS: � �l� �- CITY: 2��1�4 ZIP: c�3� <br /> STATE LICENSE: # aZ�O EXPIRATION DATE: 3 p <br /> ARCHITECT/ENGINEER: NE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REG N: # <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 ermits! <br /> PROPOSED WORK(describe in detuin: f�Q� �°l^ �� �Q <br /> S' �s <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> o� <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 conformance with the ordinances and codes ofthe 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 SIGNA RE: DATE: � d� <br /> 31 <br />