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1 <br /> Total Fee: $ Date Received: <br /> � Entered By: Permit#: <br /> � <br /> CITY OF ORONO - BUII.,DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) . <br /> THE A.PPLICANT IS: (circle one) OWNER OR ONTRACTOR � <br /> JOB SITE ADDRESS: /(�d � L o Yv� � L j t� [�Ct �v• ZIP: ������— <br /> NAME OF OWNER: g j�� (J�Y i L� PHO�TE: (home) cI.S�- y 7 a-7/�5 <br /> (work) <br /> 1�TATLI�i 1G�.DDRESS: . CTTY: �t�I� U t-� �,1 ZIP: <br /> SELA ROOFING&REMODELING,INC. <br /> 4100 EXCELSIOR BLVD. b� `�_�� <br /> CONTRA.CTOR: � PHO�TE: a3�kay ,� <br /> COiv'TACT PERSON: ���AS� 1�IOBII.E/PAGER: <br /> MAII.,ING ADDRESS: CTI'Y: ZIP: <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGliYEER: PHO\TE: <br /> MAILI�IG ADDRESS: CITY: ZIP: <br /> I�1AME: � REGISTRATION# • <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br />. PROPOSED tiVORK(describe in detai�: iT� � ,��-T�►o6� /-�-�-4�cf��d �tYq,c�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS:� GARAGE STALLS: ATT: � DET. � �- = _••-. .. <br /> ESTMATED COtiTSTRUCTION VALUATIO\ (exclud.ing land): � � f( $,��` <br /> I hereby apply for a buildin�pernut and I acknowled�e 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 Buildin� Code; that I understand this is not a permi[and work is not to start without a <br /> permit; and that the work will be in accordat�cz with the approved plan. <br /> APPLICANT'S SIGNAZ'URE: � , �- DATE: ��1�� <br /> 14'OTE! �..._Parade of hTomes events require separate permit c�proval by Police Dep�rtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />