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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CI'T'Y 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) OWNER I R CON RACTOR <br /> JOB SITE ADDRESS: /33_ )/ (F ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> 111 Yes p'}�lo 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: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: C-60— PHONE: c'-5-0)-y"72 O6 <br /> CONTACT PERSON: b<1j c ex AS-4 MOBILE/PAGER: q V 7 <br /> MAILING ADDRESS: a 617s 11 kg 9.)_ CITY: S Act)- aK ZIP: S-s_33` <br /> STATE LICENSE: # 6R0)61;1;1,3/ EXPIRATION DATE: d7 <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 /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai : fVcJ,P /ai sz if(7,5\a- -.C.S.C)•,b,., <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ GI6 <br /> I hereby apply fora building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the or.inances and codes of the City and with the State Building <br /> Code;that I understand this is not ape 't and .rk is • to s . w' hout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> trilw <br /> 31 <br />