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• ;A CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> 'ME APPLICANT IS: (circle one) OWNER - CONTRACTOR <br /> JOB SITE ADDRESS: S vv 0rDA-3 6 i ZIP. <br /> (work) <br /> NAME OF OWNER: La.:1A1-‘2- PHONE: (home) <br /> MAILING ADDRESS: (,16- CITY: ZIP: <br /> TOR: 1 ezi.4,/, PHONE: �3- ) - Y`,6r) 7CONTRAC QN ADDRESS: � 3LI q ��--e--r. Y()l CITY: I2 4,/, (J /" ZIP: `3S ),-6.57 <br /> MAILING <br /> STATE LICENSE: # . 9.‘c7 1 <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) : �� Ye �D d r <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $(.2 8D( <br /> vm, <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 - perm ' t and ork is not to start without a permit; and <br /> that the work will be n .cco dance ith the appr, ed plan. <br /> APPLICANT'S SIGNATURE:,�� �' ,, .I DATE: <br />