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Total Fee: $��a 7 3 Date Received: �� � Z��d� <br /> Entered By: ��/vL_ Permit#: A C� ����� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle oize) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � . ZIP: � � �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Departsnent and City <br /> Council appf�oval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAi1�IE OF OWNER: /�tYI"1�C ��'i� PHONE: (home) 95z '�'�3 ' �SD <br /> (work <br /> MAILING ADDRESS: `lS �G� . CITY �Gt ZIF: ������(O <br /> .�,�� , <br /> CONTRACTOR: {� V �{�1S � („O, PHONE: �p�Z.-�Z.S-Z,�SOD <br /> �� �GCONTACT PERSON��'�.s�H�� ���,�VIOBILE/PAGER: �L-ZgL-b'1 R � <br /> MAILING ADDRESS: SO J�Ji`r��,�,J�,�-�� , L>v. CITY: , ZIP: �� <br />�t�� STATE LICENSE: #�u,o/ <br /> b cz 2�2.-0��o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe i�z detai�: �-�"�uV l�Ow✓t 0�GL „ `1� , Wl��(� l�IC (/V <br /> �iY1L r h, i`f� D(u c.J� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> o� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����� <br /> I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. . <br /> APPLICANT'S SIGNATURE: ` DATE: � � �S <br />