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LAV 0 <br /> Total Fee: $ 19A 5 Date Received: <br /> r Entered By: / Permit#: <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, ONTRACTOR <br /> JOB SITE ADDRESS: -:3�Q l"(D(A �'/`B/-Zf,Pr ZIP: <br /> Will this be a Para4e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YesNo If yes, a special event permit 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: C41'ISZ-�4Jee PHONE: (home) <br /> f (work) <br /> MAILING ADDRESS: �7�3q ID�0`�S t,D�P Dr CITY: &0' 70 ZIP S 3 S <br /> CONTRACTOR: PHONE: FJ(v? 2 f �I <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: S 3 S o <br /> STATE LICENSE: #q 0 ��'q <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration , <br /> PROPOSED WORK(describe in detail): <br /> FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $� ©� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start w' out a p .t; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: <br />