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F CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /,%/0 Date Received: 9- 7-91/ <br /> Date Approved: <br /> Entered By: * hi <br /> Permit#: (,,,<A3 <br /> .-- <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR, <br /> JOB SITE ADDRESS: /030 )1d i AlZIP: 3S(n/ <br /> (work) <br /> /� // / � l // Pr✓ed / <br /> NAME OF OWNER:V 10/10 o t6 41.Sth J � ji esti l.- i`fr)PHONE: (home) 7 7 99'/307 <br /> MAILING ADDRESS: /55 ? /CM) 4e. CITY: Pap/e / g i/! ZIP: 6536-9 <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New/ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : '/I IT C on CeSS ioi'l anct. 4 itzle{eehis'• <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /OW. (36 <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 /> JDATE: 9- 7- 9 V <br /> APPLICANT'S SIGNATURE: /.,, iA ii.!4 ),t-i •/, 11: • <br />