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Total Fee: $ Date Received: 5 /(/ /0
<br /> Entered By: Permit#: rf ('
<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: gps" (,V/ Haft) V, tirzi vge.ZIP:
<br /> NAME OF OWNER: be.(;rim Copizit, PHONE: (home)
<br /> (work)74,..? 7.7p
<br /> MAILING ADDRESS: /1-2.)—?trig (,,p,�t p,g,CITY: .,34,. ...,,,431 Aiw IP:�?,rV 4'9
<br /> CONTRACTOR: Le�R.,Q.,�) gto-„,, e .,p PHONE:743-?8d.�7,�G,•
<br /> CONTACT PERSON:j ,ltd lea.ps�e OBILE/PAGER:1,/,Z-9 9 '-.�93
<br /> MAILING ADDRESS:/3,21-?,f fit L,4.,14i, 11 g CITY:0444,,, ZIP: ,v, -*'4'9
<br /> STATE LICENSE: # /3,,1-7
<br /> ARCHITECT/ENGINEER:OFe i944/40 PHONE:601-G3G-ZAP?,
<br /> MAILING ADDRESS:A/7?7 /p v it. CITY:art,a(,,y,, /,/i dsZIP: e",Sy/2
<br /> NAME: PO4) Pais, a 4.,„) REGISTRATION#
<br /> TYPE OF WORK: New K. Addition Accessory Structure
<br /> Move Remodel/Alteration Land Alteration
<br /> PROPOSED WORK (describe in detail): Re_s,flgs3l L j.10„ . c r oA)
<br /> FiRbT H.to
<br /> STORIES: 2 SQ. FEET OF EACH FLOOR 60 .201- /5'3 8
<br /> NO. OF BEDROOMS: y GARAGE STALLS: ATT. 3 DET.
<br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $3 77 vr'. o't7
<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 accordance with the approved plan.
<br /> APPLICANT'S SIGNATURE: 102-- 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.
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