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� � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUII�DP�TG PERMIT APPLICATION <br /> All information must be submitted in fuIl before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> JOB srrE AnnxEss: �l�i.r L�r�� �'� z�• .s..��q/ <br /> NAME OF OWNER: �� �c> >,.�R r, PHO��TE: (home) �I7s"-�33 <br /> (work) <br /> bIAILING ADDRFSS: CITY: ZIP: <br /> corrrx�cTOR: ��r,�l.�� 1.:r-� �'�� �c. PHONE: y?/-�'d��.s� <br /> CONTACT PERSON: ^'� � MOBILE/PA�ER: I�-9 5�7 . <br /> Ms�iII..I�i iG ADDRESS:���S ��,rt�• dL CITY:�' �U?� ZIP: �533 .. <br /> STATE LICENSE: # o2d��'�$3 / <br /> ARCHITECT/ENGINEER: PA��� <br /> 1��IAII.ING ADDRESS: CITY: ZTP: <br /> NA1vIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: 6� �""� � ���� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDR001�IS: GARAGE STALLS: ATT. DET. <br /> ESTII-i IATED CONSTRUCTION VALUATION (excluding lancn: $ ���' <br /> I hereby apply for a building permit and I acknoa led�e that the information above is complete and <br /> accurate; chat the work will be in conformance Rith 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 acco ance with the pproved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��a� <br /> NOTE! Parade of Flomes events require separate permit approval by Poliee Department and <br /> � City Counci160 days prior to the event. Non perncitted events will not be allowed. <br />