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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �al b� Date Received: <br /> —r <br /> Date Approved: <br /> Entered By: * Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------7-_--------------------------- <br /> THE APPLICANT IS: (circle one) OWNER/ or CONTRACTOR <br /> JOB SITE ADDRESS: �� =FI�LJ rL� ZIP: 6_�351 <br /> �/ `/ l (work) <br /> NAME OF OWNER: It LL iANl !t`o� SL y/V f��,J DOLS a N PHONE: (home) 417Y_ <br /> MAILING ADDRESS: l/'C' C�/ � /i�L O D CITY: O'ey"t) ZIP: `7 I <br /> CONTRACTOR: �i2i- 1�,rt-� rv5�- Lid PHONE: <br /> MAILING ADDRESS: .,�','�� C��} iA� CITY: f�L Uj ZIP: -7 <br /> STATE LICENSE: $ /77-2-- <br /> ARCHITECT/ENGINEER: <br /> 77-2--ARCHITECT/ENGINEER: /V PHONE: <br /> MAILING ADDRESS: 3yoD �iT1'a/�V .�D CITY: ZIP: <br /> NAME: 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) : $ C po <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: /O ` /17" '73 <br />