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�1 <br /> f II, 1111 • <br /> trl) <br /> Total Fee: $ 5 ,kC Date Received: QQ <br /> Entered By: ;NAL.- F Permit#: ( 1 •- O S - (r <br /> CITY OF ORONO - G PERMIT APPLICATION <br /> +/ ?� All information must be submitted in full before plan review will be started. <br /> \V (please print all information) <br /> THE APPLICANT IS: (circle one) WNE R CONTRACTOR <br /> JOB SITE ADDRESS: /o AS vv.dotk, sjit DI? enroho ZIP: s-1-35-‘ <br /> NAME OF OWNER: dvt• S itiv(1-0).\- PHONE: (home) fa-Li-73-1571f <br /> n/� (work) 4/1- 31?‘ 76 6/ <br /> MAILING ADDRESS: 'Ors ww t)vs <br /> r`deo.- IFIL CITY: o rD w) ZIP: 03 St <br /> CONTRACTOR: 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 Addition Accessory Structure .�,Y �� <br /> Move Remodel/Alteration Land Alteration .> "7 �1 n,,,_ <br /> PROPOSED WORK(describe in detail): i,ni.•It- etAki j i"- 19` i y1/4..c , J <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 accordance ith the approved plan. <br /> 17-APPLICANT'S SIGNATURE: /V DA tt - 17-0P--, <br /> NOTE! Parade of Homes events require separate permit approval by‘e e Department an <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />