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Total Fee: $ Date Received: <br /> Entered By: Permit#: —46e40-5: <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: ,Q(circle on/e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: aale k/dS/ ZIP: 5. <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 5?No lfves,a special event permit is required lvitic Police Depar•tnretrt attd Cin,,Cottercil approval <br /> 60 days prior to the event. Shuttle bits service mill be required unless appliccnu dencoresb ales <br /> sufficient on-sire packing is available. Aron perncitted events ivill not be alloit-ed. <br /> NAME OF OWNER: .J 10- ct- K.I V K AA- PHONE: (home) 9 ig'2 7 2 <br /> (work)h/ <br /> MAILING ADDRESS: �d�rrr7 CITY: !" 7? ; ZIP: Y. 6-�- <br /> CONTRACTOR: /V/0- PHONE: <br /> CONTACT PERSON: .712,11 MOBILE/PAGER: 0i2- 7VI <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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 /> PROPOSED WORK describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ coe c3-d <br /> I hereby apply 6or 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 1 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: DATE: f Z� <br /> 31 <br /> {, <br />