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w <br /> R Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 i�ifornzatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: f% %��c Ic �3�2�t� l�r L L ZIP: �3� <br /> Will this be a Pa►-ade of Homes, Remodelers Showcase Horne or other Display Home? <br /> ❑ Yes �o If yes, a special event permit is required tivith Police Department and City <br /> Council approval 60�lays prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: CG�,�,�c-_�� LJ/c�'�,.J PHO\TE: (home) <br /> (work) C/Z.- ��I �7 �� <br /> MAILING ADDRESS: 2�� y 3 ��.��,�i CITY: f�� ZIP: �`�`�� i <br /> CONTRACTOR: �J j�.�.J S! ��� �`� PHONE: 6�2- ?� I -���� <br /> CONTACT PERSON: �j-�vtu.— MOBILE/�__�: G� � G��' � �99 <br /> MAILING ADDRESS: a'1�/� n���„�-��.��-��-,�- CITY: ��7 ZIP: r�'�c�/ <br /> STATE LICENSE: # c�t� �'� <br /> ARCHITECT/ENGINEER: PAONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration_� Land Alteration <br /> PROPOSED WORK(�lescribe i�z detai�: �Z��r�-� �„� a.. /Z� �',���r L�r s T�,�(„ <br /> /c-,E�...�'�`� A�,���-o `3 'F'�-s� f'�.;�z� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAI2AGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,`��� � . c� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances 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 permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: C/.J w�_ DATE: � I �� <br />