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� <br /> Total Fee: $ �'� � , �� Date Received: <br /> �� Entered By: Pemut#: � J 6 5� <br /> , <br /> CITY OF ORONO - BiJII.DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------------- <br /> ---------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �Spq S�y P lo.ce ZIP: 5 5 3`� 1 <br /> NAME OF OWNER: �ei�e � Co�c PHONE: (home) �-t�I - £'�7�� <br /> (work) 4��-9��8 <br /> MAILING ADDRESS: 35�9 �y 1P1c..c.s� CITY: O r v v�o ZIP: ��3�t ( <br /> CONTRACTOR (�e h� ��x-1;� PHONE: �3'1 - 8 ZS�1 <br /> CONTACT PERSON: �� MOBILE/PAGER: S 3 5 - �t S�O <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �i" Land Alteration <br /> PROPOSED WORK(describe in detai�: -I�a� o�- o1d �af . some �ec�e�k��c � <br /> f'�sh�n�(.� roo� - <br /> STORIES: l SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �f?9 O '°Q <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 Ciry 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: G��-�C�o DATE: �2- 7-�P� <br /> NOTE! Parade o Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be aZlowed. <br />