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Total Fee: $ Date Rece�ved: <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 information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � f'� �C.Wc9O e� �� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 4 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 /> NAME OF OWNER: �UI• A� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��rX4 � i� -��• PHONE: (A/Z 6`�Y " O 2 3 6 <br /> CONTACT PERSON: •4 MOBILE/PAGER: ��L byY� e z3.� <br /> MAILINGADDRESS: 1t30� �'D L ►� CITY: �� i,,,� ZIP: .�3G y <br /> STATELICENSE: # 2038 7'Y�J`� EXPIRATIONDATE: 3��/ /o g <br /> ARCHITECT/ENGINEER: 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(describe in detain: �.q,.r'- o �oc� � �/� � <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ��.9 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land)����7 ' /�,�,, <br /> i <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 art thout a permit;and t ork will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I/� � <br /> 31 <br />