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otal Fee: $ �,� Date Received: <br /> Entered By: �� Permit#: <br /> CITY OF ORONO - BUII,DING PERMIT 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 R CONTRACTOR <br /> w <br /> JOB SITE ADDRESS: 3 � � q S�.v h t-���,, Z ZIP: S�_��� <br /> NAME OF�OWNER: �l��� ��Ie-{'S�-L� PHONE: (home) �/75/� _ <br /> � �work) Y7�- 7300 � <br /> MAILING ADDRESS: o� f �c� CITY: NQ V� U H� ZIP: s".S�3�2 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CI1'Y: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � ` � � <br /> PROPOS D WO (describe in detain: S l�h Q��, � 1 � '�v� �cs�i��j�� <br /> Y1 ,.��D Q.4.'C li'� � , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED 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 conforniance 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 accordan i e pp ved plan. <br /> APPLICANT'S SIGNATURE: DATE: 3—��'��� <br /> NOTE! �arade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />