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Total Fee: $ Z57 33 Date Received: rit (PCP 0- <br /> Entered By: 695 Permit#: '7I-5N o ' <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 /> THE APPLICANT IS: (circle one) C-VNID OR CONTRACTOR <br /> JOB SITE ADDRESS: 59.5.- s yJ79 z q r GSD ZIP: 5:6356 <br /> NAME OF OWNER: Uy!//D 46947J7,9,S/A' PHONE: (home) —yoy-07O <br /> (work) 763--76 '-3y(c0 <br /> MAILING ADDRESS: 50,c S ala ci '-f 6. CITY: 42,4974,4c ZIP: ?$ <br /> 6/9 y / .D G orsiG i9/.>"6 <br /> CONTRACTOR: 0 tv/V E/' PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: 7‘.3—_.. 0 —7;1'5'3 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: f LvN/EQ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition V Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): i9ZD Diz-ct %o cv,e•.Sr sig' <br /> OP yo o J " <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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: ,� %l —7-yyt DATE: c7:Ge q 03 <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 /> 5 <br />