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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Totat'Fee:• $ Date Received: <br /> Date Amvroved: <br /> Entered By: ' <br /> Permit a- <br /> ALL INFORMATION MUST BE SUBMITTED IN FIIT.T. BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------- <br /> THE APPLICANT IS: (circlee one) _OW/N/ER or CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: /Yu �� ( �9 2c �- ZSP: 3c, 7 <br /> 4c- <br /> (work) <br /> NAME OF OWNER: PHONE: (home) V <br /> MAILING ADDRESS: J l ( e° S d rL ;-,CITY: joeolk Y D ZIP: <br /> CONTRACTOR:( ��n�eQ (� '( PHONE: <br /> FAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: $ <br /> ARCHITECT/ENGINEER: PHONE: <br /> :MAILING ADDRESS: CITY: ZIP: <br /> „rte: REGISTRATION a <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_ Renovate Land Alteration <br /> PROPOSED WORK (describ in detail) :' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> ?O. OF BEDROOMS GARAGE STALLS:.,4 ATT. DET. _ <br /> 40 <br />''=M ATED CONSTRUCTION VALIIATION (excluding land) : $ <br /> 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 /> ;rdinances and codes of the City and with the State Building Code; that I <br /> .nderstand this is not a permit and work is not to start without a permit; and <br /> khat the work will be inacco with the 'ppr.oved plan. <br />'ePPLICANT'S SIGNA <br /> DATE:H- j � ' c� , <br />