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� • <br /> ���� <br /> . CITY OF ORONO - ����G PER�SIT APPLIC�TION <br /> � Date Received: <br /> Total Fee: $, `�'`� ��' <br /> Date A�oroved: ' <br /> Entzred By: �',�t - Permit= ';`j '> �' <br /> A7'T' INgpRMATION MIIST BE SIIBMITTED IN FULI� BEFORE PLAN RE�7IET+1 WIIZ B$ S�AR� <br /> (See Check-off List Enclosed) <br /> „�E AppLICANT Ig: (circle one) O�dNER or CONTRACTOR <br /> Q l�o�� l��.� �� � ��+���� ZZP: s�39� <br /> JOB SIZ`E ADDRRSS: 3yy / � <br /> (work)(�3�- S�� D <br /> NAME OF OWNER: �J(��/� C/v'�L S~"J PHONE: (hcme) �/�S` S � <br /> MAILING AnDxEss: / 7�►1 l y� 64V�P /�• cz�: � I•yr ll� zIP: SS��/7 <br /> . . . U 7�` � /!a� <br /> CONTRACTOR: lUd ��rr� �'��"� G PHo�. <br /> MA.II�IIdG ADDRESS: 3`��� J��� l�L.� ��' CITY: /��l/0�(/'l"`P ZIP: SSJ7 ,' <br /> STATE LICENSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEERs <br /> MAII,ING ADDRESS: <br /> CITYs ZIP_ <br /> REGIS�RATION � <br /> NAME: <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> S l�j'✓� � � • ' �P � 1 <br /> � ��g sl�`'1 (-�l/1 ��r( � � <br /> PROPOSED WORR (describe in detail) : �� � <br /> �� 1 r 'O ,. �vl c-\ ----- - � , -��-�, <br /> dVC� {�� �L'IN� 11'� 4,C1� d <br /> T � ti� �� .!,�-6.�F C v L <br /> i Gn ;� <br /> S . FEET OF EACH FLOOR: /"+`p��Ox �D v� �' �J"'► . �o��l N �/ <br /> STOR�ES: 4 <br /> NO. OF BEDROOMS:_� GAR.AGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacludinq 1and� = $ Z"�D <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 Co eL�ithaand <br /> understand this is not a permit and work is not to start without a p <br /> that the work wil 1 be in accordance with the app roved pl.an• <br /> � DATE: 3-- � s- �� <br /> APPLICANT'S SIGNATDRE: � <br /> • Jeu,.` �QUi�s�i'l <br />