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� Total �ee: $ Date Recei�-ed: <br /> �ntered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan re�-iew will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � �� �i �Ls a r. ZIP: <br /> �(� a3 -�r�- �3 - 3� - ao 73 <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 titzzh Police Department and City <br /> Coasncil approval 60 days prior to the even:_ Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �QJ� ( (i a� � y� ���'� PHO\'E: (home) ���c(�3� b 4 ?3 <br /> � (wor6) 9S� �{ot � � � 3 <br /> MAILINGADDRESS: �5��� �usSex lJr CITY: t'l,n�ne�ar,k� ZIP: _5 S3 �1S <br /> CONTRACTOR: � PH01E: <br /> CONTACT PERSON: �IOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHO\'E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRAITON# <br /> TYPE OF WORK: New Accessory Stracture � <br /> Addition Move <br /> RemodeVAlteration Land Alteradon <br /> PROPOSED WORK(describe in detai�: � �-- ��-c,,,` o-n. �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): S �3 o O <br /> I hereby apply for a building permit and I aclrnowledge that the information abo��e is complete and accurate;that the <br /> work will be in conformance with the ordi ances and codes of the City and «z:n the State Building Code; that I <br /> understand this is not a pernut and work is n t to start without a permit; and that t�:e work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �` Z ��"I <br />