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. -� • ' \ I <br /> , Total Fee: $ '5�.�,Z.O � Date Received: �%� �- �� <br /> Entered By: �' _ Permit#: //l�d� <br /> CITY OF ORONO - BUILDING PERNIIT 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 O CONTRACTO <br /> .�....__ <br /> + <br /> JOB SITE ADDRESS: o�� i'�� .� � ZIP: <br /> NAME OF OWNER � `� PHONE: (home) <br /> , <br /> �^ (work) <br /> MAILING ADDRESS: � `d�.� �� ,CITY: ZIP: <br /> .� <br /> � <br /> CONTRACTOR: �' ! (Al �< PHONE:_ ; .� 'b ` 'r <br /> CONTACT PERSON: MOBILE/PA Rr -- <br /> MAILING ADDRESS: • � CITY: �� ZIP: � ! <br /> STATE LICENSE: # <br /> n <br /> ARCHITECT/ENGINEER: ,� �f" � �I PHO � <br /> MAILING ADDRESS: � CITY: '�� ZIP: <br /> l�JAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � <br /> PROPOSED WORK(describe in detai�: � ' �" �,f V <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $���'� ; <br /> � <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 City and with <br /> the State Building Code; that I understand this is not a pern�it a d aavork is not to start without a <br /> permit; and that the work will be in accsard ce wi he ppr d pla �' <br /> / ,, <br /> APPLICANT'S SIGNATURE: �� � ATE: ��� �1��`� <br /> ` _ <br /> NOTE! Parade o�Homes events require separate permit ap oval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />