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Total Fee: $ Date Received: <br /> innteresl 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: I/ '.3 ). it)/LL die- ZIP: ,55:. 5 <br /> C' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ā‘ Yes fa 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. l <br /> NAME OF OWNER: )1II G-rt 4 ,` (-P K,4t-- PHONE: (home) 995 7 f y u7 <br /> (work) 6/add <br /> MAILING ADDRESS: 5'c .;Vk-z. CITY: ZIP: <br /> CONTRACTOR: O?-c PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): c-37 <br /> dery uāœ“ da -S <br /> STORIES: - - SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /e),e)0. ` <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: (t- 4 DATE: //- <br />