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Total Fee: $ /��; _ � Date Received: <br /> Entered By: Permit#: C Z, <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 /> ------------------------------------------------------- -------------- ------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 10 Z C he\,w ( ,c�s.e_ -Dr j v e ZIP: �53� <br /> NAME OF OWNER: �0 6 L� I e PHONE: (home)q2-4703S-7 <br /> (work) g(niZ -&ZZ-14 n. tw") <br /> MAILING ADDRESS: 162 (kIeV ry dc!Se,.Ort J CITY: o i ZIP: 53 Esq <br /> CONTRACTOR: PHONE: (p I L-��35-S P-7-2 <br /> CONTACT PERSON: e MOBILE/PAGER: +, (k Lf <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 <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`FORK(describe in detail): 7-k ,ry—,-e S eg 5 o-x,, ?(s-V'e L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z CS C) <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: 9:x1) -- 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. <br /> 5 <br />