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: <br /> • <br /> Total Fee: S ����'�� <br /> Entered By: Permit#• <br /> CITY OF ORONO -BUII.DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all informalion) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���O N, S I�o('Q CN. ZIP: S S �g ) <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes �No Ifyes,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 applica»t demonstrates <br /> su.,�'icient on-site parking is available. Non permitted events will not be aldowed. <br /> C��1�5 <br /> NAME OF OWNER: M v.f v 1,.�c,�,�j',,� PHONE: (home) <br /> ,,/ (wa�k) b 1 Z-Z 3S. (oL/�� <br /> MAILING ADDRESS: 30 7 b /V ��61� �(; CITY: 0 7�: S"5��/ <br /> corrrx�c�roR: � � S e �,a�-e S rxor�: 7�3- �l y(�-��°l v�► <br /> CONTACT PERSON: ai o. � MOBILE/PAGER: _Co - ! Z <br /> MAILING ADDRESS: 7 � a CITY: �e (�.ZIP: �°( <br /> STATE LICENSE: # Z oo Za IZ7 EXPIRATION D TE: �-� I - Z o o$ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA11�IE; REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) _]� <br /> Any earth moveme may re ire MCWD review permits! <br /> PROPO D WORK(describe i etain: �� C o o�_ �v��C ��� �,n�. <br /> SQ (`r�t�� 2.(�\�C 2 ��� � <br /> STORIES: � SQ.FEET OF EACH FLOOR <br /> NO.OF BEDROOMS: �-I' GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �� 00 O <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 pemrit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE �/ � DATE: Z - S� � � <br /> 31 <br />