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Total Fee: $ Date Received: <br /> Entered By: AV, Permit#: "", <br /> CITY OF ORONO - BUELDL 1G PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. . <br /> (please print all in <br /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: A640 ZIP: <br /> NAME OF OWNER: PHONE: ome) <br /> &M1"2U_0 _ <br /> (work) rAILING ADDRESS: CITY: lft�M <br /> ZIP: Yh�s <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: . <br /> STATE LICENSE: # <br /> ARCHITECUENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New ddition Accessory Structure <br /> Move Remodel teration Land Alteration <br /> PROPOSED WO (describe in detail) kA <br /> t9 1�P -�At� <br /> STORIES: SQ.FEET OF EACH FLOOR: IQAte ?P <br /> NO. OF <br /> BED OOMS: GARAGE STALLS: ATT. :DET.ESTIMATED CONSTRUCTIONVALUATION(excluding land): $ fpr 1� <br /> •�c / <br /> I hereby apply for a budding permit and I acknowledge that the information bov complete an <br /> accurate; chat.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 permit and work is not to start without a <br /> permit; and that the work will be in or the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: a-4—L_ <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />