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. , Total Fee: $ �� • �e� Date Received:�� /�O Entered By: Permit#: - CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle nne) OWNER O CONTRACTOR JOB SITE ADDRESS: 36S S L y,2« a v E ZIp; $5 3 S ! Wilt this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes Q NO If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. /J /� ka�E �N2E�s NAME OF OWNER: W R r�S Kpg�3 rnfS PHONE: (home) 4 5�-5F 7 I-o Z �t� (work) MAILING ADDRESS: 3 6 8 S L Y�e�c /��- CITY: l.t�h�z a ra ZIP: 5 S 3 4 f CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: p��K 2E ALti�6 nti E►� � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /Soc� — I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � - � DATE• <o -�Y�3 3]