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• . <br /> Total Fee: $ L'' Date Received: , ( ' r; <br /> Entered By: t +/ / ' ( Permit#: 7` / 7 <br /> CITY OF ORONO - I UILDING 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 O CONTRACTOR <br /> JOB SITE ADDRESS: '� L/�0 A)•QA4--1-6-4 Pda,C.-Qzip: CS 3 5 <br /> rov <br /> NAME OF OWNER: r ck4 f&VI A PHONE: (home}' 5 L't7 -1199C. <br /> 9 <br /> (work) S ifaiArt2.J <br /> MAILING ADDRESS:4- V 5 14o/Pirr clac�CITY: O r^ON" a ZIP: S5 7 5 <br /> CONTRACTOR: 1(1Y ��-�-br\ u'• „��e S PHONE: 76 3 aQ 5-3939 <br /> fes <br /> CONTACT PERSON: 7", ' MOBILE/PAGER:i b 3 _ ; o - o-1 I I <br /> MAILING ADDRESS: ( ThoMa Q2-r . CITY: al b n*;i.e.11 u ZIP: 5 <br /> STATE LICENSE: # e - '-f 2{ �. <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure V <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): X to 3 0 a_c GG' S5 or ‘,/ ,n: I(9,0'L6 <br /> w a C s c z i o r c-(n -�c� e C-n 5 -E r u r <br /> STORIES: I SQ. FEET OF EACH FLOOR: / a U <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. -- DET. — <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / 9� &C O .00 <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: 14,, .0 0 - DATE: ( b ~a- C^0 c . <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. <br /> 5 <br />