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Total Fee: $ ������ . ��° a�ti Date Received: � ��� -�� <br /> En�ered By: ��. � `� Permit#: �o'�7toS3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> L � All information must be submitted in full before plan review will be started. <br /> ��� (,'►_-_________ (please print all i�zformation) <br /> ',' -- ----------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR <br /> JOB SITE ADDRESS: `�$� RvSS��, �V� . ZIP: �S�°I � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be c�llowed. <br /> NAME OF OWNER: �65 ��K�k� �-C*��� PHONE: (home) �SZ- �$Z'v��`t��' <br /> (work) <br /> MAILING ADDRESS: ��*�I� , CITY: � ZIP: <br /> CONTRACTOR: T�h►s�� ��M,�j'�C,� l ti C, . PHONE: �S� "9'J�"^O�S�' <br /> CONTACTPERSON: G�.2.0 t�-At�s�� MOBILE/PAGER: f�Z-3(oq- ���o <br /> MAILING ADDRESS: "79'20 K�Rt�CR��.d. to05? CITY: cl�A�.1 ZIP: SS3tZ <br /> STATE LICENSE: # 12(c 1 <br /> ARCHITECT/ENGINEER: �-�.��y �+�Ns�� PHONE: <br /> , <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure �J�Q � <br /> Addition Move <br /> RemodeUAlteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: �R.p�Z' ��P�.`� `�, S,'p� �1.i`T'e.�/ 0J E�,�-�,� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '�, �b0 <br /> I hereby apply for a building pemut and I aclrnowledge 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 pernut and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> h <br /> APPLICANT'S SIGNATURE: DATE: ��2$ d <br />