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• / op <br /> b y <br /> 1 <br /> Total Fee: $ �� �`� ' D.ae Received /- )-(a /0/ <br /> Entered By: , /) � Permit#: <br /> T7 /// 4%) <br /> /0�/ ; Y `-t <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be starte 1. <br /> (please print all information) <br /> i <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> L{ 7 U <br /> JOB SITE ADDRESS: .0a- f A u w rl 4 , ZIP: SS3S-I <br /> 957 7 <br /> /' fil4r <br /> NAME OF OWNER: i Le S qr,.j yip PHONE: (home) - Oft <br /> q -7 �(� (work) <br /> MAILING ADDRESS: 3.1IA E,ta;,i,P_,., , Q CITY: 0 r),+-r\c; ZIP:Ss 3S <br /> CONTRACTOR: LA,()dL `t r e i 1 e -i.,c , PHONE: 95 Z - `70�, (l Qa <br /> CONTACT PERSON: -rtpw, e ;A -z_. M.OBILE/PAGER: l d Z - s 3 Z—Z/8'2 <br /> MAILING ADDRESS: 'Lir-0/ / ,t 5 A/0,.<:P-1, , ;( CITY: /1i'aE k.,, ZIP: sS3' <br /> STATE LICENSE: # 2o2.0 4 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): ,.ti,er'. j 2 b It... ,,c, „, s <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ', t (XV <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 cordance withthe approved plan. <br /> APPLICANT'S SIGNATURE: �� 44 <br /> . y `� DATE: 4,2-610-/ / <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 />