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� <br /> . <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------- --- ---------- -------------------------------------- <br /> ------------- - <br /> THE APPLICANT IS: (circle one) O EI2�6R CONTR�CTOR <br /> JOB SITE ADDRESS: ` �d � �f� �"��� /�w ���, � <br /> ziP: 5 s�3 �- / <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 Ciry <br /> Cotrrtcil approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �� �C/�/3��I) �, �/-�;� 1 S'�' �v PHONE: (home) <br /> (w ork) <br /> MAILING ADDRESS: � ��S� S��'�i �' � /�L CITY: S,J��,'�,s /�a � I( ZIP: 5 5'3 � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILElPAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessor�- Structure <br /> Addition Move � <br /> RemodeUAlteration �_ Land Alteration <br /> PROPOSED WORK(describe in detai�: /� �� v � <br /> STORIES: _� SQ. FEET OF EACH FLOOR: ��� �� <br /> NO. OF BEDROOMS: �^ GARAGE STALLS: ATT. � DET. <br /> J�� � <br /> ESTIMATED CONSTRUCTIO�,' VALUATION (excluding land): S l� � �' - <br /> I hereby apply for a building pernut and I acl�owledge 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 w-ith the State Building Code; that I <br /> understand this is not a permit and work is not to start without a pernut; and that the work will be in accordance with <br /> the approved plan. � <br /> � � <br /> APPLICANT'S SIGNATURE: ' L� �'��� DATE• � 3�� <br />