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Total Fee: $ �6 •00 Date Received: 1-2-- 13-99 <br /> Entered By: -V6 Permit#: 12"3 es H <br /> • ' CITY OF ORONO - BUILDLNG PERNUT 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: 3 15 TON KA WA KOA D ZIP: <br /> NAME OF OWNER: FfK4AltC MOFi;fPHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 315 7Dw K"A. CITY: ZIP: <br /> CON'TRACTOR: -J SN S� FtOOaS PHONE: Col 2 +15-05+19 <br /> CONTACT PERSON: Ftc t�, S-T-DPL-1 si►J MOBILE/PAGER: lvl Z <br /> MAILING ADDRESS: foo 1 CAp4_Svt-1 Ft w*j *-tn-S CITY: A W OE7MOK . ZIP: 55305 <br /> STATE LICENSE: # 115cP <br /> ARCHITECT/ENGINEER: FI UG Stbf-t-I tFt� PHONE: &[Z <br /> MAILING ADDRESS: (01 CAPD-XSr+J PKW :�In5 CITY: M Wpta7pt►t-- ZIP: 55 305 <br /> NAME: -&-i-D R u S-rq REGISTRATION# 4-12-5 K <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): („0 Al STT CT- fL)j c\/CL,, TRA'CK <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 00 O <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 mi Accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: (2j,'2 w DATE: !L 13 9 <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 />