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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee : $ <br /> 4/ Date Received: D ' <br /> Date Approved: <br /> Entered By: �,�.L� _ <br /> Permit: <br /> PILI, 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 CONTRACTOR <br /> JOB SITE ADDRESS: "�( b ��-��t l.Ak ZIP: 5535 <br /> (work) <br /> NAME OF OWNER: PHONE: (home)413-Yom <br /> MAILING ADDRESS: 4Z� �fbi� klL1 CITY: * Lur'.K L.Akr- ZIP: 55-354o <br /> CONTRACTOR: wT��-SQL- .' C PHONE: C) <br /> MAILING ADDRESS : I"3cnj -7 410 CITY ��'�-I�� ZIP: 55343 <br /> TYPE OF WORK: New Addition_ Accessory Structure Move_ <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: Z SQ. FEET OF EACH FLOOR: 5Z `� Z <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. —' DET. <br /> a� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $_ OCD <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 approv d plan. <br /> APPLICANT'S SIGMA DATE: <br />