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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> / Date Received: <br /> Total Fee: $ 0 1 _�' <br /> Date Approved: <br /> Entered By: APermit (p <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 o CONTRACTO <br /> JOB SITE ADDRESS: ZIP: ms`s 3 9 / <br /> (work) <br /> NAME OF OWNER: // �ny�c.� PHONE: (home) y7 <br /> MAILING ADDRESS: 31.5 �i y�� CITY: &tV2 � ZIP: <br /> CONTRACTOR: PHONE: /7S- J-5-5/8 <br /> MAILING ADDRESS: CITY: ZIP: .S"-53os <br /> STATE LICENSE: $ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Nom: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 9,000 —� <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- <br />