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Total.Fee: $ 9/ 6-- <br /> •-' 6 Date Received: 3'oZ -a00 I <br /> Entered By: ,ec_7 Permit#: 40 3 575 <br /> !% 4 , i /(,, / C / <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 ONTRALTO_ <br /> JOB SITE ADDRESS: .r 7j- ©pC r'a,i) gip_ ZIP: <br /> NAME OF OWNER: /?, G/-1- 57,41/2 ,i-t. PHONE: (home) L/7 -0/2 <br /> (work) <br /> MAILING ADDRESS: 5-75- G PC f"a21) Ri7 CITY: clka/.-o ZIP: <br /> CONTRACTOR: 1 i -_ - 3o%r/�i1•-ra c©4,5 r�%vc P : ,1-2. -4'4`G --/ .---72- <br /> CONTACT PERSON: 57716'f.; /?/-iS MOBIL /PAGE 6./2_--G4,p- - 4-(41- <br /> MAILING ADDRESS:3 9 hr /0 /2/,:fa/i '/ CITY: et/A,;r�s2 r awiv ZIP: 5"S irg." <br /> STATE LICENSE: # 11-/-3 <br /> ARCHITECT/ENGINEER:#1/,4-Ai/17-0,,r/t. /)/:s ,i,/ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition ( Accessory Structure <br /> Move Remodel/Alteration pt Land Alteration <br /> PROPOSED WORK(describe in detail): //Zo ur/7,.2 ed /1/Jp,i,,-v- g/iS/i)/H" <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /IO ce'd, ozO <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 /> I <br /> APPLICANT'S SIGNATURE: c.. Le -," DATE: -3/2/ ZGt,/ <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 />