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f -- <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: qj 7 3 <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 CONTRACTOR <br /> JOB SITE ADDRESS: �� O3 4/4"7,7/6-/-4,x--72 ZIP: <br /> 72 <br /> NAME OF OWNER: .5 ON e r e,v k PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 1389/9 K PHONE:'76 3 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS:A)`f 7 73 le vc N, CITY: 6rtvK k'v„ E.l<ZIP: b, `fes" <br /> STATE LICENSE: # 3C 9 7 <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 detail): j J9 r 0 FF rz'r'oo/ I/ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /� ,.S(7/ <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 /> APPLICANT'S SIGNATURE: DATE:SIGNATURE: , <br /> NOTE! Parade of Homes events requt separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />