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�� �� <br /> �Iti � <br /> Total Fee: $ �3. D8 Date Received: �`�� ��� �\ <br /> Entered By: �q� Permit#: �f /(�;f� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full befare plan review will be started. <br /> (please pri�at all iiifor�z�atio�i) <br /> --------------------------------------------------------------------------�----------------------------------------------------- <br /> THE APPLICANT IS: (circle o�:e) OWNER OR CONTRACTOR <br /> \ ' <br /> JOB SITE ADDRESS: ��� 7 7 �Z.SCL% �f ��(� ZIP: <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event perNiit is required with Police Depar•tment antl City <br /> Cou�i�cil c�pp�roval 60 days prior to the event. Non permitted events will not <br /> be czllowed. <br /> NAME OF OWNER: �}l �?�0� �� (�/��;5 PHONE: (home) <br /> 'l _� (work) <br /> MAILING ADDRESS: ��7 7 CQ.SC,G -f�_ �"��'. CITY: ���� ZIP: <br /> CONTRACTOR: / - i,�.f' � _ �L_ PHONE: �p f�,Z - 07 v�l-o��f3/ <br /> CONTACT PERSON: MOBILE/PAGER: _ C��� - a,�� -a ti � � <br /> MAILING ADDRESS: ��?�SS f/Wti S�5 CITY: ZIP: .S�y y/ <br /> STATE LICENSE: # �bO�c��7� <br /> ARCHITECT/ENGINEER: --"" PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration_� Land Alteration <br /> PROPOSED WORK(describe in detain: C o h � ✓J'1✓' <br /> � 0 ✓�c� (.� S � c � .5 Ct C� <br /> STORIES: SQ. FEET OF EACH FLO��R: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $� �S� 4� <br /> I hereby apply for a building permit and I aclrnowledge that the ir�formation 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��ermit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATU � < � � � DATE: <br />