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Total Fee: $ Date Received: Y‘,2/ <br /> Entered By Permit#: / <br /> 4ITY 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) OWNER s' CONTRACTOR ' <br /> JOB SITE ADDRESS: t05- Of()NA) op_cmiNeg jC9. ZIP: S,5-3Ss( <br /> NAME OF OWNER: Caa00(,w� ( «,.,;„, PHONE: (home) 95d- 4'oY-(393 <br /> (work) <br /> MAILING ADDRESS: 5.1-A.,..„. CITY: 6,4,, ZIP: 5-5-s sc.. <br /> CONTRA TOR: G4 F,-ti,,( fr, Eroli ` 5.,.c. PHONE: ">63-Yff- 3aa V <br /> CONTAC PERSON: 64,6.7. b- MOBILE/PAGER: 4.6.7-rco- aFo <br /> AI <br /> MLIN ADDRESS: mos( (oo 47 A,..--N -CITY: s-,,,- G=oo ZIP: 5-5-S‘ g <br /> STATE L CENSE: # ao3'?opo <br /> ARCIIIT <br /> CT/ENGINEER: PHONE: <br /> MAILIN ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration (< Land Alteration <br /> PR POS D WORK(describe in detail): C.v....,0 t.k ,t.../- - d if c..r d vc J 0 0 rf' <br /> W 30 7, . X 6.4..,.4--4_ -4:1.t4 C_ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMA D CONSTRUCTION VALUATION(excluding land): $ /'7 coo <br /> I hereby a.ply for a building permit and I acknowledge that the information above is complete and <br /> accurate; s •t the work will be in conformance with the ordinances and codes of the City and with <br /> the State :uilding Code; that I understand this is not a permit and work is not to start without a <br /> permit; a 3 d that the work will be in accordance with the approved plan. <br /> APPLIC• 'S SIGNATURE: _ r DATE: '- .5 '3 <br /> NOTE! "'r' • I f s i ' events require separate permit approval by Police Department and <br /> City Cou cil 60 days prior to the event. Non permitted events will not be allowed. <br />