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Total Fee: $ Date Received: <br /> , _ <br /> 'Entezed By: Pernut#: <br /> CITY OF ORONO - BUII.,DING PERMIT APPLICATIOlet <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) OWNER OR CONTRACTOR, <br /> JOB SITE ADDRESS: /3 9S C��`r� ��l�� ZIP: �s,�� � <br /> NAME OF OWNER: � P� � PHONE: (home) 9,�,7-�7/-.�v35 <br /> (work) <br /> MAILIl�TG ADDRESS: /39�C��i'rv /�/crcy� CITY: �ras�v ZIP: 5� <br /> CONTRACTOR: (..� u �a ree r �r�„N PHONE: 9S�-��a-3�3.� <br /> CO�t'TACT PERSON: rr�/ OBILE/PAGER: �/,2-� Ps' -�6 0 0 <br /> MAILING ADDRESS: a��S mn�e�c'� �lv�% C�: /YJdun c% ZIP: �5.3� <br /> STATE LICENSE: # �Da 9933 S <br /> ARCHIT'ECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAi�IE: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK (describe in detain: �e��cc,e ���/���, <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROO`�iS: GARAGE STALLS: ATT. DET. <br /> c.�- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3�a o <br /> I hereby apply for a building pernut 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: �� Q L"�G����� DATE: �`�l`� .� <br /> NOTE! Parade 4f Homes eve�zts require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />