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Total Fee: $ /,2'J Date Received: 'Z';/yi <br /> Entered By: cil Permit#: %D /7&, <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: 2275- (,c/L-6[3� 1 N' 1-63 ZIP: ,-C-5 39 I <br /> NAME OF OWNER: gyie0") ' i Jv tui/5 O r✓ PHONE: (home) `f 7S-3173 <br /> (work) SS 1 Scf <br /> MAILING ADDRESS: -22-76- G Ee //1(5 CITY: 14- ZIP: 6—.5-19 <br /> CONTRACTOR: 6Y/41776-3PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: O GWIL k 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): DE4 ,4)/)'7`t DA/ <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 a cordanc- with the approved plan. p <br /> APPLICANT'S SIGNATURE: DATE: A 1-1 V /U <br /> i <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 />