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Total Fee: $ G a Date Received: -G`9� <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER: _ PHONE: (home) X012- y 7/-?6 <br /> " (work) <br /> MAILING ADDRESS: �J o2 vim, �c k CITY: log e2". ZIP: 5 3 S(o. <br /> CONTRACTOR: PHONE: /11,D <br /> CONTACT PERSON: MOBILE/PAGER: 3 �(s- Gl�►g. <br /> MAILING ADDRESS: I(Ao �r.L. 2H CITY: Mt4 na ZIP:�& <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 detai : -� . o ,' , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �f 00000 <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 un this is not a permit and work is not to start without a <br /> permit; and that the work will e in acco dance wit the approved plan. <br /> APPLICANT'S SIGNATURE: `4 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 />