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, • <br /> Total Fee: $ Date Received: <br /> Entered By: 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 1110 \N VIAVYY1 Rocky ZIP: 3CaLv <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> E Yes ® No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: -5060Y-1 PHONE: (home)1407-4161- IS3t0 <br /> (work) <br /> MAILING ADDRESS: t11 0 uN e Rkv rYl Ku RA CITY: by-01 D ZIP: 6S"3cs 10 <br /> CONTRACTOR: (s Yl()(,1; \reAnc h 12..boTlV1j tap PHONE: 'I -1 11 . -`471 <br /> CONTACT PERSON: 1 i y\ Unlit vi pay MOBILE/PAGER: <br /> MAILING ADDRESS: 3?( \ E14St- QC)I-K CAY1....e ' CITY: At a b�1 S ZIP: 5S40(4,STATE LICENSE: # OO 4 a 3 EXPIRATION DATE OS <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition _ Move Home _ <br /> Remodel/Alteration 7d <br /> PROPOSED WORK(describe in detail): \W>\-All " ' i) AL'Wrl'eol-c Ain(/t (51/1' ZY <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9 7)LA 0 (�b <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: V w.iL�• ' L, DATE: 6 '2� <br />