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Total Fee: $ Date Received: �� � � <br /> Entered By: Permit#: ' j ,, ` <br /> , �� J <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�ONTRACTOR <br /> � ��C� , ��� :z s«�..�L> <br /> JOB SITE ADDRESS: � _. -, ��;� `'_{, , � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q No If yes, a special event permit is required with Police Department and City <br /> ' Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> � <br /> NAME OF OWNER � ' '4 � ,l���:�I '(� � ,, _. i_.�i i,��; 1PHONE: (home) �;�- � � �`� ; ,'; <br /> (work) <br /> MAILI\G ADDRESS ''l Y���:� �i��?_�����_ k -� �� CITY: ;' ;;.i�)�, L�; ;%:� ZIP: ` >'; ,� ;.� � <br /> CONTR�CTOR: � i �' , � '� ;� �� � � � �, � � ���i i� PHONE: <br /> CONTaCT PERSON: 1 MOBILE/PAGER: <br /> MAILI\G ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> i <br /> ARCHITECT/ENGINEER: � ��� ����a"�i,�- I - �C,�,)����.� r' PHONE: <br /> MAILI\G ADDRESS: � � CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure � <br /> Addition N1ove <br /> RemodeVAlteration Land Alteration <br /> , , � <br /> PROPOSED WORK(describe in detar�: ; � ' `,, ; :� 1 ` ' � <br /> STORIES: _�'�.. SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: GAR-�GE STALLS: ATT. DET. <br /> s� ��c`;� -� <br /> � � C.� <br /> ESTI�LaTED CONSTRUCTION VALi��TION (excluding land): $ � - - . _ _ <br /> I hereby apply for a building pernut and I aclmoa-ledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinar_ces 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 pernut; and that the work will be in accordance with <br /> the appro��ed plan. <br /> i ; ' <br /> / -, <br /> 1 <br /> APPLICANT'S SIGNATURE: l. � . ; % DATE: I � . I ' <br />