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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: f <br /> Permit#: <br /> j , 0- (0 3 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 2./g51) L,C iiJ tv ! /MC 1J ZIP: 55-.5t51, <br /> J1 <br /> (work) <br /> NAME OF OWNER: kffY\ Elk:x-12_6 U PHONE: (home)475-54 72- <br /> MAILING <br /> 475-5472- <br /> MAILING ADDRESS: )/* a (* Jl CITY: .1A4t-k ZIP15;z7 <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : / L IALE- !S T/ 6L-�- <br /> ityf n y;)c.i fiadt,„ 1.(7.-_ 44) &/ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informat <br /> above is complete and accurate; that the work will be in conformance with <br /> ordinances and codes of the City and with the State Building Code; tha <br /> understand this is not a permit and work is not to start without a permit; <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: / 1: )at-/ �G DATE: \-V6//t <br /> (Ples ill out the reverse side of this form) <br /> 4 <br />