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• CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> f Total Fee: $ AoDate Received: <br /> Date Approved: <br /> Entered By: A <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------------- --------------------------- <br /> THE APPLICANT IS: (circle one) OTINER or COy1NTRAO� <br /> CT <br /> JOB SITE ADDRESS: ��(� /�, Sparc. Or. (�. Mouy10( ZIP:' SSS3 6 y <br /> /� L <br /> (work) <br /> l� <br /> NAME OF OWNER: raviT R- �2hkS�er✓" PHONE: (home) q qS_xq <br /> MAILING ADDRESS: -71 bt-- W . CITY: MpLkytk ZIP: S7,5-36Y <br /> CONTRACTOR: CK OLV1 PHONE: `4 7 A - qSA 9 <br /> MAILING ADDRESS: -71 O A), S Voc z_ CITY: M QLLVkk ZIP: SS 364 <br /> STATE LICENSE: # ►V oil C_ <br /> CHITECT ENGINEER: fi r C h t+2 t+ PHONE: S `l q 3 � <br /> MAILING ADDRESS: 3 110 I,J t S,e®v,s I n kf, CITY: �r�,�� zip: S S qz 7 <br /> NAME: r 12 y\ REGISTRATION # .2, ) a S 8 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : AA /9'x aaiton 4, Som~ Slab c1� <br /> kw` )2r Mo__ ' f r i�edl�oo vlvn acQdC�F:o�n e��2P 6it-, .� 1_arnt �c, !\6`ay+'1 <br /> STORIES:_ SQ. FEET OF EACH FLOOR: 8 SS s <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 30 boo <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 ap roved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br />