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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> • re <br /> p Total Fee: $ % C(. ' Date Received: <br /> Date Approved: L4_ `r''`7( <br /> Entered .By. � � ~` _ <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) s.r CONTRACTOR <br /> JOB SITE ADDRESS: 26-00 CcpoOC J-aP2,Jt. Q-r. [,GrLq (-64CA— ZIP: ,S-45:357 <br /> (work)4/7 ?-//y y <br /> NAME OF OWNER: j yj f1 dnoo d bOY-) PHONE: (home) i/76-17839. <br /> MAILING ADDRESS: 25)0 C.JOocLi-cv-04-- Ig-r. CITY: L4-15. ZIP: ,5.7535-4 <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) : µ ,01.0 urns e ...s+ oP ex,..f diwri ve.wa� c..Dlic,cr-3 Sfri,•,dfrn <br /> terra • mos*of, +K.a- at-13nd.�4113 watan. bi-!s h,nw Dbv +f o. 2 rwaAj <br /> p rose nt A po4c- l 0..Q ho zcarnl -b Ch,I d re n.We pro pcis¢. -to [rsem^^ ,e, e l e✓a+,`�, i:� -f�..o cx- 4 <br /> w i S to ping L;,.v to -1& e-x i SA,c.r1,011 d ro-7 p An <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 informatic <br /> above is complete and accurate; that the work will be in conformance with t : <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a permit and work is not to start without a permit; an <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: t /�-c-�Le,�eha 4. DATE: 2 -21 - 9 / <br /> (Please fill out the reverse side of this form) <br />