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. t <br /> • Total Fee: $ Date Received: <br /> Entered By: �-�";. Permit#: ���5 r�� <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 /> ---------------------------------------------------------�==----- -- ------------ <br /> THE APPLICANT IS: (circle one)�OWNER -R CONTRACTOR <br /> ____..= <br /> JOB SITE ADDRESS: �J��-�� ��^a-��G �"'? r ZIP: ��� �� I <br /> NAME OF OWNER: �, �1 C--�� �-�� PHONE: (home) — ��� � � <br /> (work) <br /> MAILING ADDRESS: � �`� � CITY: � � , ZIP: ' ' <br /> � � � ��� ��� <br /> CONTRACTOR: Z�(�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <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 WORK(describe in detai�: 1`�1��� � �i 11�; � � - ( � <br /> T=%�;U t� � �' � G -- �v �� . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( (���U <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 a proved plan. <br /> ' _ ��- � 1 /' , <br /> i <br /> � <br /> APPLICANT'S SIGNATURE:�, '��r ATE: �E' � �����' � � <br /> , , <br /> �' t <br /> NOTE! Parade o�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 />