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j-)`)P \\j- <br /> Total <br /> 1 <br /> Total Fee: $ 1 ?1 5"D' Date Received: :frl o e S (.„, <br /> Entered By: ^ Permit#: el/Gt/oS <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 OICONTRACT <br /> JOB SITE ADDRESS: - 2-2105 L E-Re 2 11-1<-t-S I op t ZIP: SSS°► 1 <br /> LA- -t 2&-rf , m psi <br /> NAME OF OWNER: D t s 6 v OPPHONE: (home) iQ t2-Som- (5o9 <br /> (work) <br /> MAILING ADDRESS: 22toS CbCITY: z rat ZIP: Ss3c1 I <br /> CONTRACTOR: SAw'ctoeSe DECi 6t.)1'-eee_$ <br /> PHONE: 703-5',3-0352 1.37 <br /> CONTACT PERSON: CO a,2.4_(e.bsso w MOBILE/PAGER! (o i 2- <br /> MAILING ADDRESS: 4-1113 /214o ace rl _CITY: eoP,r2,rNS0 £ ZIP: 551"22, <br /> STATE LICENSE: # 235 2 2)1170° <br /> d� <br /> ARCHITECT/ENGINEER: • <br /> PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: -REGISTRATION# <br /> TYPE OF WORK: New Addition i/ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ' Y- ' ` ekt t X "A 1.1‘',k <br /> tA'o tI tJ e , F(_oNT 40111 ttvic" QiPteMein <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO, OF BEDROOMS: GARAGE STALLS: ATT. �,. _ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1,,00 O <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 :' •rdanc - i e approved plan. <br /> APPLICANT'S SIGNATURE: i iili�L�i DATE: <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 />