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Total Fee: $ I c Date Received: c2 c .3 D (D
<br /> Entered By: (7'l.- Permit#: At 1 ,
<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 S (circle one) OWNER OR CONTRACTOR
<br /> L/(.P 5-
<br /> JOB
<br /> JOB SITE ADDRESS: (4 M 0 rano arc firie r cl k d. ZIP:
<br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
<br /> ❑Yes X No If yes,a special event permit is required with Police Department and City Council approval
<br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
<br /> sufficient on-site parking is available. Non permitted events will not be allowed.
<br /> NAME OF OWNER: ) P A i c, .4,,,,, S PHONE: (home)
<br /> (work)
<br /> MAILING ADDRESS: q D S 0rann Orci.,6 (,\CITY: Oro„n ZIP:
<br /> CONTRACTOR: Ki.;?,,, (,,,,3♦r,wt.4Ce,, PHONE: 7t'.3- 9yll -S3,53
<br /> CONTACT PERSON: D,„ ,,:, N., K;ii.vc MOBILE/PAGER: 601p- 3t 4- y)1 9
<br /> MAILING ADDRESS: 7 77 LI I Lte yri S.'+y 4we CITY: L 5A4-1-; ZIP: 560‘10
<br /> STATE LICENSE: # 3(-3 Yo g EXPIRATION DATE: 3-3 I - 0 G,
<br /> ARCHITECT/ENGINEER: / i 1, a U 4 /'10, k PHONE: 404,7- 341-V06)
<br /> MAILING ADDRESS: 406 5,,,,.11,) tl Sf CITY: filmnccipl,s ZIP:55,,
<br /> 15
<br /> NAME: REGISTRATION: #
<br /> TYPE OF WORK: New Home Addition K Accessory Structure
<br /> Move Home Remodel/Alteration(ie: Siding,Windows)
<br /> PROPOSED WORK(describe in detail): " , ,c,ckl
<br /> a2' Jr 6l'-4” �d8i-4tan
<br /> STORIES: c- SQ.FEET OF EACH FLOOR:
<br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED K DETACHED_
<br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /00) Ora
<br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
<br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building
<br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be
<br /> in accordance with the approved plan.
<br /> APPLICANT'S SIGNATURE: 01414,...\ DATE: ,,,y493/.,1 4,
<br /> 31
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