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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> r <br /> Total Fee: $ �� Date Received: <br /> Date Approved: <br /> Entered By: C ' r <br /> Permit tt: <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) ryry�n, OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: �'�y� r�<�t� ZIP: S S J S <br /> (work) <br /> NAME OF OWNER: U _)r PHONE: (home)4/7 , - 0 <br /> MAILING ADDRESS: Vt [— CITY: ZIP: <br /> CONTRACTOR: -S�,-e71- SO cy, PHONE: //7.3--� C) <br /> MAILING ADDRESS: /-0 K E CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: NNP w Addition Accessory Structure Move <br /> Demo Remoode_j Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : PCIF 16-t�U S;11' 11VC <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> oG <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ r Uy <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. a - nc with the approved plan. <br /> APPLICANT'S SIGNA DATE: <br />