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. � //.qO <br /> Total Fee: $ �J Date Received: 1 ' <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. �yJ <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> -410(40 6I"�14-Y1430-118-7-.3-41-0001 <br /> JOB SITE ADDRESS: Affss IArlmsi t—a FL1_ ZIP: <br /> Will this b Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ANo If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAMEOFOWNER: Irec. RivurS park Nsfricf PHONE: ( �rMt <br /> (work) 7 55 4-6'7 2 <br /> MAILING ADDRESS: loon Xunim LowN CITY: PjftoZW: 515441 <br /> CONTRACTOR: C,)(*,r h c, PHONE: (50 90$Q 2—3 Z55 <br /> CONTACT PERSON: Eric. kat s+x r MOBILE/PAGER: (, 09) 94 y-9 9 00 <br /> MAILING ADDRESS: 2'202 N 5K14i1#j&N 81d4 '7 CITY: S p ZIP:q9 7.1(� <br /> STATE LICENSE: # c)(j__T%0 880 IRATION ATE: 1 -10 -2-00,7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure LA+rint, <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): Re laC fi <br /> + 4 LX' n wooden 141fint 64i14(tt <br /> WIA new or�cnnexcke, yaArt��- 1 i c.. 4 <br /> STORIES: SQ.FEET OF EACH FLOOR: 13 0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .2 0,0 0 O <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 7 1 d <br /> 31 <br />