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Total Fee: $ g..F(o. 75- Date Received: /D-/a -c cJ <br /> Entered By: 69S Permit#: R k 0(07 <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: ell.S 5-0 \r\u t/-9.N Of • ZIP: 3--4--;- S s G <br /> Will this be a Pa de of Homes, Remodelers Showcase Home or other Display Home? <br /> YesLi <br /> 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. <br /> NAME OF OWNER: -3--c>\-\N Vc Iyi'(Q.._ PHONE: (home) `' 2 - /�-/- 6 760E <br /> 1 (work) <br /> MAILING ADDRESS: 2 S tv_I NA) 1 { CITY: O Q j N e) ZIP: ScS-- 3 cc, <br /> CONTRACTOR: P065 CycJAf�`. ,'NC, PHONE: 67e-zee /cam Z <br /> CONTACT PERSON: --> cstMU i ,�c\s,_ MOBILE/PAGER: Ca c 2 Z?z -/£i 7-Z <br /> MAILING ADDRESS: t- Ij Q- KagSc.,,, if), CITY: 5 57 Pc ZIP: 4;scY7 c- <br /> STATE LICENSE: # 2.0 3 75 7 <br /> ARCHITECT/ENGINEER: J v Z\Sd N 12e,S,j Pnriva 1 ni PHONE: ?? 3- 7I%- /9O <br /> MAILING ADDRESS: ct lido Vaca Pr,' and ,(-e ��NE_CITY: 6(o. N`L- ZIP: c/cl ct <br /> NAME: %6 l' vn -e i`e 2 REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition K Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WO describe in detail); =_yZgre - ----.- - „ri, <br /> Retidtiq, k ' +'slis he) 0/1Q1 <br /> STORIES: 'Z SQ. FEET OF EACH FLOOR: (5C-9 C <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. x <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ?5- aeT0 <br /> I hereby apply for a building permit and I acknowl-dge that the info.- atio above is complete and accurate;that the <br /> work will be in conformance with the ordinanc: and codes of e City :rid with the State Building Code; that I <br /> understand this is not a permit and work is not to start without . permit- .nd that the work will be in accordance with <br /> the approved plan. , <br /> APPLICANT'S SIGNATURE: .11,„ DATE: 70 12 -0/ <br />