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� �`'�`�'� �� `� _ �- ��� 7 <br /> � . ✓'�� � �n '�� ...�1� <br /> qsJ" , t,;� � � <br /> . ���� � <br /> r� c � <br /> Total Fee: $ ��j 7y (i� -/ `1� te Received ��> �'�� � <br /> Entered By: `,�-�,� � I Permi #: �, � ���G� <br /> � <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION � <br /> � ;, ,���� <br /> All information must be submitted in full before plan review will be started. � 9�1 �� � <br /> (please print all infor�nzation) • � �� � <br /> --------------------------------------------------------------------------- ----=-======---------- -----���----------- �b <br /> �.. <br /> THE APPLICANT IS: (cif•c[e one) OWNER O B,ACTOR ��' <br /> - __.___.__._ _� <br /> JOB SITE ADDRESS: �(��� � � ��C�C.K � C.�.��I��l� �G���ZIP: <br /> ;�-v=����� ( � � �,� (�� ��./`� �,i���1�- <br /> Will this be a Parade of Homes, Remodelers Sltowc�se Home`br othe� Displ�y Home? <br /> ❑ 1'eS �O If>>es, a special eventpermit is requirecl with PoliceDepart�rient and Citv Council approvta! <br /> 60 da��s prior•to the event. Slruttle bcrs sefvice tivil!be regirired tr�zless applica�zt demonsh-ates <br /> suffcient on-site parking is available. Non pe�•nzitted events tivij!not be allowecl. <br /> NAME OF OWNER: __ _ _ � PHONE: (home) <br /> �1� � T-ess f1�C-� (work) 7�03-75 -�����5 <br /> MAILING ADDRESS: %`)/� CITY: ZIP: <br /> -'��-k ?i;3 �?�7 -�I vZ <br /> CONTRACTOR: �h.�,(',j�� ,��,LC.�C�Q�(ii PHONE: 7l�3�75;3- Sv�is <br /> CONTACT PERSON: L�=�[� /��!-�2c.v s�c' 1V�O�,�,E/PAGER: _�i/Z -?�cJ�1r4�� <br /> MAILINGADDRESS: /3'75D Cs�1?SSfv4.c�.� lJj2��-� 1�Y: .�-,r�c,xe-c z�r: .`3c�4- <br /> STATE LICENSE: # ��5�� EXPIRATION DATE: 3�.3%�Zca�(�, <br /> ARCHITECT/ENGINEER: �S��y� �,(�'L�� PHONE: (�lZ � r�3I� c5�Z�o <br /> MAILINGADDRESS: ��(�� (.�SI �js�"S+�. S-i�lal CITY: �`L��IS ZIP: �SU37 <br /> NAME: Q C.���v� t�'1 P7_?�Yr:�. REGISTRATION: # <br /> �� <br /> TYPE OF WORK: New �� Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: �._�/j�����r� j�/�,� �p�j�((,z, <br /> �'/'�C�� <br /> S'I'ORIES: _ .�Z SQ.FEET OF EACH FLOOR: f����S��lXJi2 , /(p�`T SS�1`' 2��r <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ ��c,�Cco'inf <br /> r�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��J.L C�C� . Ov <br /> (4l/7s��� <br /> I hereby apply for a building pennit 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 /> ` �lzo l�s <br /> APPLICANT'S SIGNATURE. DATE: <br /> ;i <br />