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�1 CITY OF ORONO - BUILDING PEMMIT APPLICATION <br /> Total Fee: $ I L� ' y � � Date Received: <br /> Date Approved: <br /> Entered By: Permit /D '3 /5 <br /> : <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) O;JNER o CONTRAfC�TOR <br /> JOB SITE ADDRESS: �� U l` \ 15\ Q `� I \ zip: <br /> (work) <br /> NAME OF OWNER: 'A\­(' V, 2T3 `nCA PHONE: (home) 44 <br /> MAILING ADDRESS: , `O Sl1�Dt.y c)oJ C��T=YZIP: CJI <br /> CONTRACTOR: PHONE: aa --7 lC3 C/ <br /> MAILING ADDRESS:a3o0► Sry_�a G S CITY: ZIP: <br /> STATE LICENSE: # r=IO L l <br /> ARCHITECVENGINEERA PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) . �.S1G�" <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 information <br /> above i s comp 1 ete and accurate; that the work wi 11 be in conf ormance 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 he approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br />