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l -o'� <br /> Total Fee: $ /388.Q5�1 Date Received: 9-/i) 7 <br /> Entered By: Permit#: A/J ?-? <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) r OWNER )R CONTRACTOR <br /> JOB SITE ADDRESS: //oa ©L.D cRys-r-At1":941 `1 S ZIP: <br /> Will this be a 1,.e 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 applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER:76 1jL A �9 p pvi n i+ PHONE: (home)67-S7). Y-76 Y 91)-a' <br /> C.c H 0 07sz lel_- (work) <br /> MAILING ADDRESS: 0 63 dNA. T5— CITY ZIP: .Ssc3 � ) <br /> c r-ys-)-ame 9// <br /> CONTRACTOR: ,%1//19PHONE: <br /> CONTACT PERSON: 2 �, , MOBILE/PAGERO'l —79 7 Q n6 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ,dL / y PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure X <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): 7 u/f )H yt o lvi /, /v at),n S/_42. <br /> / 0 xty cjw $If-,Qls <br /> STORIES: / SQ.FEET OF EACH FLOOR: /5`D <br /> NO. OF BEDROOMS: ,ice,j�— GARAGE STALLS: ATTACHED,9/./2,9 DETACHFJY4)S <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 p 0 <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: -j , DATE: ,/2A9, <br /> • <br /> 31 <br />