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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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) OWNER ORONTRACTOR, <br /> Ux l{&5 ,�. <br /> JOB SITE ADDRESS: SO/�10 o"00 ,O lP'/��w / ,Po 4L �' - ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes E. 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 -)q OWNER: ezrY1/i PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 411 CITY: ZIP: <br /> CONTRACTOR: 'Ark/C k et/ukiw eoNST PHONE: 773- q97 //76 <br /> CONTACT PERSON: y°,¢re at 4iv ertl MOBILE/PAGER: “1-02/74.7—33f <br /> MAILING ADDRESS: , R y ws r• , W.al CITY:57 4l/�ifEG ZIP: cSS7.6 <br /> STATE LICENSE: #o?OO 3r57g <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration )( Land Alteration <br /> PROPOS D WORK(describe in detail): Ec of / L,4fEe oFSj�6CC OF,- pf' <br /> /1 v crG/E,C,e f.45/1� CES1;JYf/LS �P/DE.r,bY te 6v�DPgSE4L DaiJ,r/S rd/ <br /> raY <br /> STORIES: <br /> SQ. FEET OF EACH FLOOR: ,,,?/60 o e R oaF <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /90a00 <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: ,.�1 4//? DATE: 44142 6 or,S! <br />