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<br /> Total Fee: ~$ Date Received: �"�3-D 7
<br /> Entered ]3y: �4.� � Y-�� Permit#: �063 /2-
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<br /> CITY OF ORONO - B�;�'QG PERMIT APPLICATIOl`�T
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<br /> ., yn,,, f ` All information must be submitted in full before plan review will be started.
<br /> (please print all information)
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<br /> THE APPLICANT IS: (circle one) �OWNER�OR CONTRACTOR
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<br /> JOB SITE ADDRESS: � � ���==, �f y:' ��;��.t)�(��eti `�C�i ZIP: �;,�,;�-', I
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<br /> NAIv� O��' OWN�:R: '�:_��n °�,�_��.t��, PHONE: (home) `�� } -�.4�<��f
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<br /> (work) �t'<�- �'� ': - �(����
<br /> MAII.ING ADDRESS: I ����, �'�`{_�z��,a�,�o ,'� <:`�' CITY: ���P�,�' ��������, ZIP: ���?'�f !
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<br /> CONTRACTOR , f,��.���,<.;. � J; ! l��x��:)_�j�' PHONE: , : � . _ �� ;
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<br /> CONTACT PERSON: ^� , � ,r,��� MOBILE/PAGER:
<br /> MAILING ADDRESS• - `:k CITY• '�,�i t,. .,, ' � ZIP: ��i �
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<br /> STATE LICENSE: #
<br /> ARCHITECT/ENGINEER: PHONE:
<br /> �I:�ILING ADDRESS: CITY: ZIP:
<br /> l�JAME; REGISTRATION#
<br /> TYPE OF WORK: New Addition Accessory Structure
<br /> Move Remodel/Alteration Land Alteration r'� %�Il I V1G��
<br /> Pn`�'P�SE'�VVORIi�c�esi,�'ibe ii2 ueiczil}: �u � <� `� ic.�n�' �.,� ,';� (` � , ;��� . �
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<br /> � �,e' .�r� � t? .� �, �- �—+. � �,� � .� � .
<br /> STORIES: SQ. FEET OF EACH FLOOR:
<br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.__ ,.
<br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $
<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 �.c�o�dance with the approved plan.
<br /> APPLICANT'S SIGNATURE:���.� ��" l_� r ,j� DAT'E: � �`���'� �Ln �.J���
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<br /> NOTE! ParadeQf 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.
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