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Total Fee: $ y 1 (Ql i . (oq Date Received: 94,7 h9 <br /> Entered By: Permit#: 1 I q Li9 <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 ORCONTRACT <br /> JOB SITE ADDRESS: 2.L) W oo iL-t,(, El ZIP: 5.55,1 <br /> NAME OF OWNER: &1Jf1- i4Aktuo_oLL <br /> PHONE: (home) X957"6-'n 55 <br /> (work) <br /> MAILING ADDRESS: 3Z bze.scJ 11 i CITY: Oto ZIP: 553 <br /> CONTRACTOR: d�,E.0 f'cer- - f,`f tc PHONE: SZ. - 3`QST <br /> CONTACT PERSON: 1: 1.c s _ o,o B 1 OP AGER: q/?- 5332_ <br /> MAILING ADDRESS: i 9-4$ f J Icnl, yet' 4.t) .._S CITY: ItqpS ZIP: ,'54(d ci <br /> STATE LICENSE: # 5z/ 2, <br /> ARCBITECT/ENGLNEER: L4t,uWijmi) PHONE: 3-7-1 -V.5 <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): 011-.s.,.4-0>cry\, Q $c_Aesf r <br /> 4- Tia r(�se:s-7-- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLMATED CONSTRUCTION VALUATION (excluding land): $ Lt oo, o o J 1111 <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 bVt <br /> dance w' the approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: 9 —4 -" <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciiy Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />