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CITY OF ORONO 6122494616 01/25/00 17:16 (5 :07/10 NO:909 <br /> Total Fee: $ � ,. _ Date Received: <br /> Entered BY: eA Permit#; P O2ot Y' <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 infortnarion) <br /> THS APPLICANT IS: (circle one) OWNER O ONTRACTO <br /> JOB SITE ADDRESS: 980 7DIV44w* „ _ _ ZIP: _ <br /> NAME OF OWNER: I ZIArc- PHONE: (home)_ j <br /> (work) _ <br /> MAILING ADDRESS: CITY: - ZIP: <br /> CONTRACTOR: - S£ c- PHONE: 60/2-4Y/7- Qo $ <br /> CONTACTPERSON: 44ce7- <br /> . c MOBILE/PACER:- Giz-�a i G Z G 3 <br /> MAILING ADDRESSCITY: 'lf4�-1F kzZIP: S33 G <br /> STATE LICENSE: #—Aa/4,22?(P <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: ____CITY: ZIP: <br /> NAME: -_-- <br /> REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration - Land Alteration <br /> PROPOSED WORK(describe in 4erail): —I-Ke-5 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '163. GAO <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 in accordance with the approved plan. <br /> APPLICANTS SIGNATURE. <br /> DATE: <br /> NOTE! ftrade qf 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 />