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• Total Fee: $ / . Ccj Date Received: j- '/ <br /> Entered By: 14, Permit#: <br /> • <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 5 L h, <br /> eQ c2— )/ic>L C,S 4ZIP: <br /> NAME OF OWNER: OiuiR1,jyie a))/41_,6i0,1_ PHONE: (home) 1-17.6—i0 ,3 <br /> (work) <br /> MAILING ADDRESS: {5-, CITY: ZIP: <br /> CONTRACTOR: CoL41),/‘ (Sl, PHONE: '9y /0 <br /> CONTACT PERSON: Cilt9 s MOBILE/PAGER: <br /> MAILING ADDRESS:79 l s Cna, -1 'Tar bda /CITY: Cort,co, „_ ZIP:,<s'3 c/O <br /> STATE LICENSE: # /r,/7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition 4i— Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): /JQ / )(' 2,,2. — �i��a .r 4z_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ it `©U2 <br /> l � <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: 4.W DATE: V—,2-4/— 7-0/ <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 /> 6 <br />