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.� � CITY OF ORONO BUILDING PERMIT APPLICATION <br /> tal Fee: $ 7� Date Received: <br /> Date Approved: <br /> D <br /> Entered By.—` .r) 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) C—OW—N-E-A or.CONTRACTOR <br /> JOB SITE ADDRESS: I 0A 0 I Oce h � ` X Q ZIP: 5S 3 T l <br /> (work)3 7 S 3 S 3 <br /> NAME OF OWNER: 4 y I PHONE: (home)y Co <br /> MAILING ADDRESS: 10 0 I W IV �� Q CITY: OtoK �1 SIP: SS3S I <br /> CONTRACTOR: SQ I PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS 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/Alterations Renovate Land Alteration <br /> - <br /> PROPOSEDPROPOSED WORK (describe in detail). bC.n O(\ KJ-c�e, <br /> STORIES:�_ SQ. FEET OF SACH FLOOR: 10 0 0 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) s $ 3 a o <br /> 1. <br /> rI 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 /> zderstand this is not a permit and work is not to start without a permit; and <br /> lat the work will be i accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> r <br />