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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ j(�5 - � Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: q/(, L <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 30S Ir�co�� �T J W AYZRTR ZIP: SE 1 <br /> U NT1 L (tel) <br /> V?,q <br /> NAME OF OWNER ��P�{ �c ��� PHONE: (home) y"I 1- Zq <br /> MAILING ADDRESS: S0. CITY: ZIP: <br /> CONTRACTOR: ( PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovated Land Alteration <br /> PROPOSED WORK (describe in detail) : Sg ¢. C.c cc�uti�r,ww i K c Ir�ea�S :(� ►-� .� �'��o r <br /> hlnni-K 0-1 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:_1LLL0(Ls> GARAGE STALLS: ATT. DET. Q o A-s- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 800.00 <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 will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ( DATE: I- L2- <br />