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.� ,�. <br /> Total Fee: $ � �9 2 �y�C' Date Received: r� � �'j��'�' <br /> Entered By: _(�� Permit#: ��z���t,-� <br /> -_ : �.r���-� t�/�, <br /> SEP 2 g 2��; <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �. ,,, - . At�information must be submitted in full before plan review will be started. <br /> �:-r���'� ��-''� �'-' � (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> r � <br /> -#- ' f` C,'r c (e._ zIP: j S b� <br /> JOB SITE ADDRESS: I 33� �' e 5 I o��, <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Department and Ciry <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: I����C� � �a �t � PHONE: (home)`ls��-N���Sa6(� <br /> (work) q S'�-�q=l - "6 U <br /> MAILING ADDRESS: j 3� ? ��'�� �'°`'`� `-�:�r� � CITY: V���u������c, ZIP: c' �� <br /> CONTRACTOR: D.w��� PHONE: <br /> CONTACT PERSON: (� o���� ��,,,t�1 MOBILE/PAGER: <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 Accessory Structure _ _ <br /> Addition Move Home <br /> Remodel/Alteration X <br /> PROPOSED WORK(deseribe in detai�: ��'rr 0 c�e� 0� c,� �c'�-�^;° C� ��� '�^ ����"`�� <br /> 1".� � i r��. � <br /> � <br /> I_��.. <br /> STORIES: SQ. FEET OF EACH FLOOR: a�� - <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�' 0!��'' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: �!G DATE: / �� DC� <br />