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� , . , <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> �'�. �i n�''� ----------------------------- <br /> ---------------------------- -- ---------- -------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNER OR CONTRACTOR <br /> JOB SITE ADDRESS: / 4� 7 � ZIP: �S � ! � <br /> c � <br /> NAME OF OWNER: D�-�e_ �� PHONE: (home) �5� — �7i/��3 <br /> (work) <br /> MAILING ADDRESS: CITY: �!/` ZIP: <br /> _ q <br /> CONTRACTOR: ���"^'S �V ST Or�1 W t NOoc,� PHONE: ��3 �76 �91 � <br /> CONTACT PERSON: To m w Rti r-�2 MOBILE/PAGER: � d 9 a 9 9 3 / <br /> MAII.ING ADDRESS: I 11 j 3 ►-� 1 $0�201�w�c.n3 CITY: �H1Z�P��N ZIP: J3! <br /> STATE LICENSE: # ��l('��a.�c`3 � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRFSS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(descr�be in detai�: �� �l�C p��-� ��`�'d� ����� <br /> �.. �Y�\ �1 hj �'o <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �o11�C�. � a <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: W DATE: � <br /> NOTE! Parade Qf 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 />