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511. 7 if, <br /> 'Ai, Total Fee: $ I Or'dY `'� Date Received: <br /> h y Entered By: — Permit#: '2 i <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> c\ <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: /3o S DAeONo L E- O "eo/va ZIP: S3 3 9/ <br /> Will this be a Para.e of Homes, Remodelers SJ¢owcase Home or other Display Home? <br /> Yes 4 No 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: U1 GO!£ PF r f Vin"°/" S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /3 g's-- ORoNU CITY: eP-0146 ZIP: 53 3 4/ <br /> CONTRACTOR: R.c---UTE 2 Ceo t i lie►-+ at-'C , PHONE: '/2 'g 2 3' 3`f <br /> CONTACT PERSON: Ri /< 2t=U7 -7 MOBILE/PAGER: 612 — 9/9— S.-3 3 <br /> MAILING ADDRESS: 4711g N/Cou ET A-vf- S. CITY: MPi--S • ZIP: S3` / 9 <br /> STATE LICENSE: # 'a-- <br /> ARCHITECT/ENGINEER: N ` A - PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): 121--Xiovt ,recP111-eg- d+siv^iv£Y <br /> ,(J <br /> gv;1J ,— 1;) PeI' J eL j w2a v&wr £ 47-PriR <br /> STORIES: N•J • SQ. FEET OF EACH FLOOR: 0 <br /> NO. OF BEDROOMS: ('J•P1/4 • GARAGE STALLS: ATT. C] DET. C) <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Oo <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 without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: i' A , /� DATE: /1.—/6 -O `� <br />