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' Total Fee: $ � �� � �S Date Received: �� <br /> Entered By: /�y� Permit#: ���S�� <br /> .�-/ �� � o� `' <br /> CITY OF ORONO - BUILDING PERNIIT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: (37 5 1��ST f I OI AI T ��• ZIP: ��3�� <br /> NAME OF OWNER: (,YAIIV � (K���.RLI�I�� PHONE: (home) Z 7�- 299 <br /> (work) <br /> MAILINGADDRESS: 131� t-'Z�,tr �uT ��, CITY: /n�u�V� ZIP:_���C� <br /> CONTRACTOR: �E.�Rp ��lpY(yL411( PHONE: 2 ' 8� <br /> CONTACT PERSON: �R�{�( (�� MOBILE/PAGER����qp.�.(c�p ��t�.(p��tr <br /> MAII.ING ADDRESS: Iq35 t,.�.�,.,�A�zA-r� �vLp CITY:_�� t.q� ZIP:��3SC� <br /> STATE LICENSE: #�poqq�a� 1*�y <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: ����g Q��u� TO Et,���I�IAT� <br /> 1-�vA��"E.Y t or.l �X 1 ST�Ill C 12[3O1°C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��D��� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: j�,n,.e,,., �CM�.t l� DATE: Z '2-O p <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />