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Total Fee: $ D 1-7(e -'Z5 Date Received: /O-aO- <br /> Entered By: _ r Permit#: 3157 <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 R CONTRACTOR <br /> JOB SITE ADDRESS: $of ZIP: <br /> NAME OF OWNER �"1 q �e ni j�- PHONE: (home) 4-71 -0 l 67 <br /> (work) 61 i- -/ q*6 - 7237 <br /> MAILING ADDRESS: 3120 Hv--( 51 CITY: oK~ ZIP: <br /> CONTRACTOR: PHONE: (,5T-791v� <br /> CONTACT PERSON: 7z.y✓ MOBILE/PAGER: ((oro-7 �z47--7.-,v;- <br /> MAILING ADDRESS: X,56,3 21y — vr- CITY: ,.geuN6yW ZIP: aF- u- <br /> STATE LICENSE: # <br /> N►pfifi5 M�b�M.v S7r+mcn4rot, Ei✓lo , (,(L 527-7�ZS <br /> ARCHITECT/ENGINEER: '[V1-Sort VES#b -TWL. PHONE: &5'1 - 4,5'2- - 2,004- <br /> MAILING ADDRESS: 132 CITY: ZIP: 5 S 1 Z2A <br /> NAME: REGISTRATION# N. A. <br /> U'A tQt,S �M+� rJ S�PJ <br /> TYPE OF WORK: New Addition ✓ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): P <br /> STORIES: 3 SQ. FEET OF EACH FLOOR: L Lr -4-yo U1A;,J .�qp U PPtn NO. OF BEDROOMS: . GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 150 <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 i accordance With the approved plan. <br /> APPLICANT'S SIGNAT DATE: �U`I�-Oo <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 /> 9 <br />