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Total Fee: $ Date Received: ,Cl-.�/- U� <br /> Entered By: �L Permit#: �;�7�� <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: Z � I 3 C��t-S�a �'�- �p ZIP: 5�3 j� <br /> NAME OF OWNER ��o� �t��y.� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: "L�f 1'3 �,rtsr.� P� �'�� CITY: G=�o,,�c� ZIP: $� Y'I <br /> CONTRACTOR: A l.,L�dJ �c r(,�,► �r,�r C,�-,,�5�r- PHONE:�`jSZ�`C?/--o y!3 <br /> CONTACT PERSON:��..2,�► Sc,E„�.r v r MOBILE/PAGER:(6�Z) 3a�-S���f <br /> MAILING ADDRESS: /Yl5'C�,�.�'i�� �C- CITY: I'L!6 v,v;� ZIP: 553� .-� <br /> STATE LICENSE: #�S�2 3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ��r Land Alteration <br /> PROPOSED WORK(describe in detai�: �� �'1q �}K i� a� �s�� �? S�✓��� S� <br /> �� ���� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 7c5��Z�. � <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 Ciry 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: g - �-�--' �� DATE: [b �1 b'�- <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />