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'' CITY OF ORONO - BUILDING PER.'tiSIT APPLICATION <br /> Tctal Fee: $ `�Q �rL> Date Received: <br /> Date Approved : <br /> Entered By: �'�,� <br /> Permit tt: ��j �� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI+AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: �O(J J JttCJk,�f.ii�� ��'. ZIP: ��� � � <br /> (work) <br /> NAML OF OWNER: L� til ��-�SC:_l� PHONE: (home) <br /> MAILING ADDRESS: l c� > �S�D�kL-i��C �t� _ CITY: ��� ,4��1- ZIP: 55��� ( <br /> CONTRACTOR: �J �.��IT�Q�1�,C,i� �A'i�)t�t«'�� �-c7 PHONE: '� / ��'G��� <br /> MAILING ADDRESS: �'��.�� lJ�����'� �tJ' CITY: ���L� ���ll�� ZIP: 'j���� <br /> STATE I,ICENSE: ,ur <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��� R.EGISTRATION ,ur <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Al.teration� <br /> PROPOSED WORR (describe in detail) : �>�� ��-1�5 Tv����t--� �� �'� ������ <br /> t �� ' SJ1� ��t5 ���i=Ul��'�u� <br /> STORIES: SQ. FEET OF EACH FLODR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> 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 <br /> that the work wil 1 be in accordance with the approved plan. <br /> A.PPLICANT'S SIGNATORE � DATE: � �_. �c�-'L-�� <br /> o+� �� _ �ds � <br /> � go . . . . . <br /> . <br /> _. . <br /> S /�¢ �Qa ._.. � �o-� c.�- �e�a.�c� w► s� 11� �c�, <br /> � <br />