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, � ��, � <br /> �� � vv� <br />' Total Fee: $ �� '- � " � Date Received: � � <br /> Entered B �� � � <br /> y: ,�' % ,, �'�' Permit#: C� <br /> � �:� �' <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: 5�9 fC��i1lC ,4V� ziP: 5�.5",�9/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � Yes � No If yes, a special event perrnit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �VUJ7] �'C.�IYI f�7/�R �Olil� PHONE: (home) j <br /> (work) <br /> MAILING ADDRESS: S�'j /���/'��f}"I�� CITY: ZIP: sS3� / <br /> CONTRACTOR: �t f 0 f � l7,(�U/�Gt PHONE: IS-a'�.z,S –�I�S.S— <br /> CONTACT PERSON: r i G MOBILE/PAGER: �S� -y�,r yaOG ex t'�-D <br /> MAILING ADDRESS: U/U� � �o�dd/�_ A�e�l. ciTY: �dir�K., zir: sS/��1 <br /> STATE LICENSE: # �C (0'70� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ ✓� <br /> Addition Move Home <br /> RemodeUAlteration <br /> PROPOSED WORK(describe in detain: (��/�, Qf2� v tf�af(f/'7 ,(JOYG�') <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 'J Q, OU�. aa <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that thc <br /> work will be in conformance with the ordinances and codes of tbe City and with the State Building Code; that 1 <br /> understand this is not a permit and wark is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE:��L/(Q,/] /ls/ DATE: S �� D <br />