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AflP� <br /> Total Fee: $ ate Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMU APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 16-o/-o C2 7-A-s. O N zip: S�3,576 <br /> NAME OF OWNER: 1-A-,-) /;A*,,4 r n4 sv v-) PHONE: (home)�- <br /> (work) <br /> MAILING ADDRESS:3/Soko GRO7*A. ,4yr?plo C : ®,dowry ZIP: ,SS3s"�6 <br /> CONTRACTOR: &oP 44+,j--s7-Rom PHONE: 76 3-Erg,a q Q,g <br /> CONTACT PERSON: Po►*-) MOBILE/PAGER: <br /> MAILING ADDRESS: S W C : a,&%c- A&)zIP:,yrs 3'76 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: C ZIP: <br /> NAME: RE ISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�< Land Alteration <br /> PROPOSED WORK(describe in detail): _l?Emsu x -i- R0;,of-,4-r-r !�.4r 0(w a- (:�,Ao-ss <br /> k1oR S <br /> STORIES: SQ.FEET OF EACH FLOOD: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ q0 e>c) <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 ord' ces and codes of the City and with <br /> the State Building Code; that I understand this is not a per it and work is not to start without a <br /> permit; and that the work will be in ccordance with the approved plan. <br /> APPLICANT'S SIGNATURE: 0 Qlaz= e C-Q� DATE: <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 ev nts will not be allowed. <br />