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��t CITY OF ORONO - BIIIZ�DING PER�iIT A.PPI,IC�TION <br /> l� , p" Date Received: <br /> Total Fee: $ � <br /> Date A�nroved: ' <br /> E�tered Bv: /''''Z''� - Per.nit� Y� ��� _ - <br /> p,T.T. INgOg2�iATION MIIST BS SUBMITTED IN FULL BEFORE PLA.N R�VIEW WIIZ B$ Sg�RTED <br /> (See Check-off List Enclosed) _______� <br /> ----------------- <br /> ---- ---------------- <br /> ------------- <br /> TSE APPLICANT IS: (circle one) O��E ar CONT.2ACTOR ���/ <br /> JOB SITE ADDRBSS: <br /> 2�7� �� /0/NT�! zzP: <br /> (work) <br /> /' �,/J �Q PHONE: (home) '�`�!�3 L'/ <br /> NAME OF OWNER: �DII� �"' u'" � / 2 <br /> ��7� �,�� f/ �� CITY:��/1�7� ZIP: J <br /> MATI,ING ADDRESS:f-�, • ••• ,� <br /> PHONE: <br /> CONTR2�,C'rOR= <br /> C=Z..�: ZIP: <br /> MATT,ING ADDRESS: <br /> STATE LIC.�.�NSE: � <br /> PHONE: <br /> A�tCHZTECT/ENGINEER: ; <br /> CITY: ZIP: <br /> MATZING ADDRESS: <br /> R.EGISTRATION 4 <br /> N�- <br /> Accessory Structure Move <br /> TYPE OF WORR: New Addition Land Alteration <br /> De�o Remodel/Alteration Renovate <br /> /�jp„U� .��.�i-n. �/� ��D/t/'lllQ�;j <br /> PROPOSED WORK (describe in detail) �� N� <br /> � <br /> STORIES:____L_ SQ• FEET OF EACH FLDOR: <br /> NO. OF BEDROOMS:�_ ��� ST�II�LS: ATT. DET. � <br /> landl : $ Z-i�cs <br /> � <br /> ESTIMATF.D CONSTRIICTION VALIIATSON (eacludinq <br /> I hereby apply for a building p <br /> ermit and I ac?cnowZedge that the information <br /> above is complete and accurate; that the work will be in conform C ae Wzth t e <br /> ordinances aa d co des o f t h e C i t y and with the State Building e�it; and <br /> understand this is not a permit and work is not to start wi t hou t a p <br /> that the work will be in accordance with the aporoned plan- <br /> DATE: <br /> APPLICA�7T'S SIGNATUREs <br /> .. . . � � � �--� �.S��-�- <br />