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� - • <br /> Total Fee: $ ��S ' � } Date Received: � �� <br /> Entered By: �1 Permit#: J � �j� <br /> CITY OF ORONO - BUILDING PERIVIIT 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 O N <br /> JOB SITE ADDRESS: �Z�I� S��-C�.��X.b�.._ ZIP: �S���t � <br /> NAME OF OWNER: ���1�1� �C�P P� PHONE: (home) 7/�7 Z. <br /> (work) S"'/Cn ' y3� 1"7� <br /> MAILING ADDRESS: D Sh�. �crrY: ��dna z�:,�.� <br /> CONTRACTOR: �'� f� PHONE: (,�i Z -S4{�f'p3C�4. <br /> CONTACT PERSON: �r 1Y� _ M ILE/PAGER: <br /> MAILING ADDRESS: �700 13�''�t,e. 'N. _CITY:� ZIP:�2�-�"(�cjl <br /> STATE LICENSE: #7 p!SS�"c o�o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILII�G ADDRESS: CITY: ZIP: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detain: �'em,�' r,�'�' ��e ror�� /70� ��� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � 1 �� <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: � DATE: �j- z 2-4 9 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />