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i1 Fee: ,%"6-54 -OA <br /> ed By: q1� Permit#: 4/ed 77 <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 /> THE APPLICANT IS: (circle one) OWNE3)OR CONTRACTOR <br /> JOB SITE ADDRESS: N 3j c bi . ZIP:SD--- C( <br /> Will this be a Par a of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o 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 /> sufficient on-site parkingnallowed. <br /> is available. Non-permitted events will not be <br /> NAME OF OWNER: 4/J akNSo ) PHONE: (home) C/2 ?©/ S/1/(i. <br /> (work) 74,3 7 'c� S de()MAILING ADDRESS: -j5 C�/C( CITY: (D X) ZIP: <br /> CONTRACTOR: sjL-1 T PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: C1.2. 76/�yc./( <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE:..,� <br /> ARCHITECT/ENGINEER: Tc) k Nv- � PHONE'S �OO O <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home 1/--- 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 detail): , I <br /> C 4&t Nq c>� Ft) - <br /> STORIES 2 (�? SQ.FEET OF EACH FLOOR: i E c O <br /> NO. OF BEDROOMS:! GARAGE STALLS: ATTACHED DETACHED J/ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ O O)�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 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 SIGNATURE: h DATE: <br /> 631 <br />