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• Total Fee: S &,-;. 7 n) Date Received: <br /> , Entered By: ,lam Permit#: <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 I CONTRACTOR <br /> JOB SITE ADDRESS: A i 6 C Ida yZl ., f Tl V d ZIP: 5556 <br /> i <br /> NAME OF OWNER: WI yl'( , �f PHONE: (home) Z11/3-4030 <br /> )_ //+ J (work) <br /> l�/ , /1/0/CITY: <br /> - ii SI <br /> MAILING ADDRESS: /60 z , l vdCITY: /U/1/C 'A'e ZIP: 5.53'..5- <br /> CONTRACTOR: <br /> 53 .5CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MA LING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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 det il): /JeXI 1 esr room /h �jl�►�1ci?� P pc <br /> c-r�ea. ✓►d Lft 1 (( O win pa) DE CF POOR <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 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 wi e approved plan. <br /> APPLICANT'S SIGNATURE: ;;.. DATE: ,c/ 5' <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 />