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Total Fee: $ Date Received: /!5- <br /> Entered <br /> 15Entered By: Permit#: �3 <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: oZ 4©D 711P,-Vffe-o D "1111L)k-- ZIP: <br /> NAME OF OWNER: 6 r - LdPHONE: (home) <br /> (work) ;g S99 <br /> MAILING ADDRESS: CITY: (0gye3 ZIP: <br /> CONTRACTOR: 14 <br /> o o PHONE: <br /> CONTACT PERSON: scfAt MOBILE/PAGER: aoa -s5/y� <br /> MAILING ADDRESS: ji, - „rte CITY: <br /> STATE LICENSE: #--12.a <br /> ARCHITECT/ENGINEER: PHONE: 0 <br /> MAILING ADDRESS: ,i CITY: ZIP: <br /> NAME: 0i REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration l Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: /baa <br /> NO. OF BEDROOMS: IGARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �F-5Zkn "' <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 wi be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: TE: `s <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 />