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� <br /> Total Fee: $ �' �� � �' Date Received: 9-Z 7,D � <br /> Entered By: �Z--�''� , Permit#: r90 7 99D <br /> _ - � '�-,;- y <br /> -.�:�Y�, -7 , <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pt•iizt all inforr�zatio�i) <br /> � <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: ���S;/(��C T/yI-(_C���-,,�/ Q� ZIP: �S��C� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If>>es, a special eve�7t per�nit is i-eqa�ired with Police Depart�nent and Cih�Courzcil appi�ovcal <br /> 60 days pr•io�•to the event. Shtrtt/e bcrs se�vice ivill be J�eqcrired ir�sless npplica�zt demo�lstrates <br /> sufficienz on.-site pc�r��ng is�av�ailable. Non�erniitted events will not be allowecl. <br /> NAME OF OWNER: g' � �fi ��—P �G t�n; l� � PHONE: (home) �S '�— /73 � C�g� <br /> /��, (work) <br /> MAILING ADDRESS: 31��i�(/���}�-CG fYc1-tir/�/J�ITY: � �_ZIP: ..�3�6 <br /> CONTRACTOR: � ('��� PHONE:y.S�---�f�-�j3S'� <br /> CONTACT PERSON: V-� c�i MOBILE/PAGER: ys a y gy 9i8�, <br /> MAILING ADDRESS: � CITY: �/.c�u��'T�ZIP��'yi G <br /> STATE LICENSE: #�[_�dDy EXPIRATION DATE: 0 3�0.�- <br /> �-eS` 5 � e� <br /> : � �� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home Remodel/Alteration <br /> PROPOSE WORK(describe in tai�: b k+ �' G�Q� <br /> STORIES: � SQ.FEET OF EACH FLOOR: � 1 v <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ---�DETACHED� <br /> � -� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ o�-S do U <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: / <br /> 31 <br />