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J r CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> r <br /> Total Fee: $ / a �9�SJ Date Received <br /> T <br /> Date Approved: ,�q -02 <br /> Entered By: * �� <br /> Permit <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 CONTRALTO <br /> JOB SITE ADDRESS: 3/S Tonka u.,,, ZIP: <br /> (work) <br /> i <br /> NAME OF OWNER: Front f N 94 natf PHONE: (home) y73-5�73 <br /> MAILING ADDRESS: j1r Tong W a CITY: Qronn ZIP: 5S3 9/ <br /> CONTRACTOR: .�C n s c n //4F m a s .rn PHONE: y7.s D S yF <br /> MAILING ADDRESS: 1.161 L41rG S it o ♦G PX W VCITY: 421ra ZIP: SS3d S <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Brvc Sc hm; �f S� Asso PHONE: y7,4 <br /> MAILING ADDRESS: Ayc, CITY: ►YQ�/zs�`i ZIP: 5-5,371 <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New ✓ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> i <br /> PROPOSED WORK (describe in detail) : raw c o <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS. D GARAGE STALLS: ATT. .3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ aoc oo <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 t <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 /> DATE: <br /> APPLICANT'S SIGNATURE: .5=/L -93 <br />