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Total Fee: $ t , aC, 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 /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: ale 5 ZIP: 49R� 6-4-3S-K, <br /> NAME OF OWNER: ,t7cnyevn PHONE: (home) 973 —eli-W <br /> (work) q 7/ Y1 2 1 <br /> MAILING ADDRESS: 310 S Z yA /V CITY: ZIP: 475-35-& <br /> CONTRACTOR: ge1) yo 0n PHONE: y73 — 6 T.20 <br /> CONTACT PERSON: BCn yJo LI h g MOBILE/PAGER: 9- 7-7`d <br /> MAILING ADDRESS: 316-f- 67� Avg /l/ CITY: Lis 4ck, ZIP: �G <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): It*" x .2 p n <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,c;,''y <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: <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 /> 5 <br />