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> Total Fee: $ /, 3 �7 Date Received: <br /> Entered By: _ Permit#: 17 <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRALTO <br /> JOB SITE ADDRESS: ,4(9C) ZIP: 5D�3Cj <br /> NAME OF OWNER: PHONE: (home) C.-a3- o 33 <br /> (work) <br /> MAILING ADDRESS: 0 ,)a CITY: 0 ZIP:13 <br /> CONTRACTOR: &<l()C,k Q PHONE:(o » -t --1 1 39 <br /> CONTACT PERSON: l MOBILE/PAGER: <br /> MAILING ADDRESS: x1 o UO eq—,,� CITY: 0- N ZIP: <br /> STATE LICENSE: #-IpLY j1 y 2L3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> RK: New Addition Accessory TYPE OF WO Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): -4 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ u1, S 00- <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,00des of4he City,and with <br /> the State Building Cpde; that I un nd this is.,not a ermit and work is not to start without a <br /> permit; and that the work wil a in acc dance 'th a approved plan. <br /> APPLICANT'S SIGNA DATE: 7/?,y/.f7 <br /> NOTE! Parade of Homes events require separ a permit approval by Police.Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />