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Total Fee: $ ��`-f� .�D - DateReceived: �-j,��.� <br /> Entered By: �;'U'�. Permit#: � ��'�Y <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 /> ------------------------------------------------------------------------ -------- -------------------- <br /> THE APPLICANT IS: (ci��cle one) OWNER ONTRACT�B <br /> ��___._----- <br /> JOB SITE ADDRESS: .>�Q ���T��''��-'�� c� `� cr- ZIP: ���� <br /> Will this be a Pa►•ade of Aomes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ��10 If yes, a special event permit is reguired with Po(ice Departtnent arTd Ciry Coc�ncil approval <br /> 60 dc�ys prior-to the event. Shuttle bus service tivill be r•eqceired tnzless applicant demonstrates <br /> suffcie�it o�i-site parking is available. Non permitte�l events will not be cillowed. <br /> NAME OF OWNER:�rTL'�� ��'�m,p� � IV' PHONE: (home 1,��-��'�7���( <br /> (work) <br /> MAILING ADDRESS: �� ���.�1s-�J�� �.a CITY��c�Q ZIP: �5,3`�'( <br /> CONTRACTOR:�° �� rn ti �ri� PHONE:"�1��� �7�-5- ��a� <br /> CONTACT PERSON: 4 sy � MOBILE/PAGER: <br /> MAILING ADDRESS:/���S h<�s�T/�✓e �N CITY��.c.o�s a � �IVZIP: SS� <br /> STATE LICENSE: # �a/�-� EXPIRATION DATE: o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Acc ssory Structure <br /> Move Home Remodel/Alteration � <br /> m <br /> PROPOSED WORK(descj•ibe in detai�: �L ��lH C� �� i ' i�>, �gC--�, <br /> STOIt�ES: SQ.�'EE'd'OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE S'i'ALLS: ATTACHED DETACHED <br /> ESTIIVIATED CONSTRITCTION�ALiJATION(excluding land): $ ���d�� <br /> I hereby apply for a building permit and I acknowledge that the inforniation 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 Buildinc <br /> Code;that I undeist�nd this is not a permit and work is not to start without a perniit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU ;� DATE: � � �-� <br /> , <br />