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� , <br /> Total Fee: $ ,S �J Date Received: �"�� !/U c� <br /> ' �ntered By: Permit#: ���;�,�U� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <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 /> `� r� r�� <br /> JOB SITE ADDRESS: C^� V l�� C Q��C���(e�v dJ� ZIP: <br /> NAME OF OWNER: �h� ��U�r� �G��-;��b�'�; PHONE: (home) <br /> . (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR ( � (>"I� i'�^LJ PHONE: �� � ���� <br /> CONTACT PERSON: ,� �� � MOBILE/PAGER: ' Z. <br /> MAILING ADDRESS: Z S ,�1- CITY: ' � 2`vt, G ZIP: S S 3`�I <br /> STATE LICENSE: # �Q()3 5�� <br /> {�� /�� // /} <br /> ARCHITECT/ENGINEER: 1.-l �� l°��;�/`�(�I C PHONE: �`� � ` �"��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> �– � ; <br /> PROPOS WO�tK(describe in detai�: � � ; -p� �Q� � (��'�j� 23 .��� <br /> �� � �� <br /> � <br /> STORIES: �-- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1�,�� <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 City 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 acc ance with the approved plan. <br /> � j' _ /� <br /> APPLICANT'S SIGNATURE: �� G DATE: — � � —lJ <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />