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' _ R <br /> " CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � ����� �' � Date Received: �J - ��� �Z <br /> Date Approved: <br /> Entered By: z � <br /> W� Permit#: f 5 .� S <br /> Ar•r• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circl.e one) OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: � � � � F6 R�'s i �-�>KE. O,R� v � ZIP: <br /> (work) <br /> NAME oF oWNER: -�1�-� ,� IK,,ti�� ?�A 2�ai' � i 'r PHONE: (h ome) r,)�- /5�.3 6 <br /> MAILING ADDRESS: y� 6� Fc RE� ; �.A K E �f�I b�E CITY: � R�� N C ZIP: yJ�3l�� <br /> CONTRACTOR: PH��= <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> cc F ��� �Ro�yaczc�. .Y;y� pgorrE: y��� �fiy/ <br /> ARCHITECT/ENGINEER: f � <br /> MAILING ADDRESS: � Y� iA n�a Ra��< �vE. CITY: �C'�v� ca,�< ZIP: �3:�.�' � <br /> NAME: �/�,Z i� C� 1Z c r,J D E ,i�F REGI STRATI ON tt 1 �� SSS <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate�_ Land Alteration <br /> PROPOSED WORR �describe in detail) : �F��-� 1 J� � E c j{s r �E s c�t f y,r �r.��!Z c/-�- <br /> �� Y� <fJCC: j,C j'T E.�i `� j tf� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ �� � ��'� �'�' <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 /> % " L%� , <br /> �-= , <br /> APPLICANT'S SIGNATIIRE: \ ' f G� .-�� . ''� � : ,� �:�� DATE: � '� S- `�� <br />