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Total Fee: $ _�'�.C� '�' Date Received: 3' ��-�� <br /> Entered By: ��i Permit#: g o �2�1-) � <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 O ONTRACTO <br /> JOB SITE ADDRESS: W «S�< <�'���C ZIp: s53 S� <br /> NAME OF OWNER: �� �S��CS PHONE: (home) ��9" �I n s o <br /> (work) <br /> 1�iAILING ADDRESS: � ��S I n� �tC k CITY: O/��p ZIP: ss3 <br /> CONTRACTOR: �O9�����"� 0�� r 5�� PHONE: ��'-Z 9°� <br /> CONTACT PERSON: �4� �(/^^��4/:/� MOBILE/PAGER: .� 759-900� <br /> MAILING ADDRESS: �y�S �lwy/69 NQ CITY: ��Y�'^°�T7� ZIP: SS��� <br /> STATE LICENSE: �f S 31� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WOItK: New �C Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �r'�n°�r O �k 4��� L/��L PpO� !r/�`� <br /> STORIES: SQ. FEET OF EACH FLOOR: cJ �� S9 � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a�. ��• � <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 accord e with the approved plan. <br /> ��i✓/.�/,Qu��F�l3�rz <br /> APPLICANT'S SIGNATURE: DAT'E: -�"Z� ��D <br /> NOTE! Parade of Homes events require separate perntit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />