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CITY OF ORONC 6122494616 05/10/99 10:31 (j :03/08 NO:210 8355 <br /> Total Fee: $ y 5S Date Received: 1l - Ilam - )b <br /> Entered By: 1) Permit N: A O 3aX <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> /_ Z 7, <br /> All information must be submitted in full before plan review wlil be started. <br /> (please print all lqformadon) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1 13 ZIP: <br /> NAME OF OWNER: �0j PHONE: (home) i4-�; - L-AO-73 <br /> (work) <br /> MAILING ADDRESS: V CITY: N,n ZIP: <br /> CONTRACTOR: a xoNE: tt �� 2 °x <br /> CONTACT PERSON: M /P GER: <br /> MAILING ADDRESS: CTI'Y: �� ?•�:_� � <br /> STATE LICENSE: M <br /> ARCMTECT/E1tiGINEER: PHONE: _J <br /> M e ITITNG ADDRESS- - --- CI'T'Y:_T ZIP: ----� <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe 'n detalo: ZO, <br /> c� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <br /> I hereby apply for a building permit and I acknowledge that the information above is c ora-pletc 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 /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! P.,rade Qf&mes events require separate pe approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />