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Total Fee: $ 3 C�g Date Received: /r� " D <br /> Entered By: l� /�� Permit#: t/'�// <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 CONTRACTOR <br /> JOB SITE ADDRESS: �qo p U�c- e-- ZIP: <br /> NAME OF OWNER: klub i-S sc4,-j ��'Ic,DdwQ ll PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: A tW N uf-+4%&� ,h, OJ . CITY: ZIP: <br /> CONTRACTOR: 12o7ec aoa(J M L, yf jjy' PHONE: <br /> CONTACT PERSON: Tom MOBILE/PAGER: <br /> MAILING ADDRESS: 1SA7CrCITY: (.i�7-,k` ZIP: 3 �r <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail): ( e um o dp-L Vi Vcl�vJ <br /> 0 read_- <br /> STORIES: ` SQ. FEET OF EACH FLOOR: - <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 75 000 <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 permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: 'v'", DATE: 1 wry <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 />