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+ Total Fee: $ '!t-��i. �;y' Date Received: � -a`�'��� <br /> Entered By: �:f. Permit#: , r�°��y �,� <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Cob Gr�Si"d-I ���- �-�t. ZIP: <br /> NAME OF OWNER: '('� ��aD� �5aa�-S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: (p0 G�r't�s-���e� �?. CITY: Orono ZIP: <br /> CONTRACTOR: IIAA�Q{c� I�. }��R�.`{ PHONE:��o�2� Q'D4"Z7 94 <br /> CONTACT PERSON: �p„� 'Q£�.(L1j MOBILE/PAGER: (��z) �j(o4-53� <br /> MAILING ADDRESS: 15q-3�' �.(eaSoh l.�n D�'. CITY: 1 nao�ZIP: 5.5447 <br /> STATE LICENSE: # ZDJ3o,Z2 <br /> ARCHTTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �Gl9�C� �ObI r/au5� �/�� ��ir`l'Ib/Y�5 <br /> /2' X 20' S7'�?LcQE' v.�J �u ll .�u n10a-r�on � �'a�!S;c�e . <br /> STORIES: � SQ. FEET OF EACH FLOOR: Z� <br /> NO. OF BEDROOMS: ��+e GARAGE STALLS: ATT.��DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����� � <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 accor wit e approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> � �ZOd <br /> NOTE! Parade o Homes events require separate p it approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />