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' � CITY OF ORONO - `i�UII,LING PERMIT APPLICATION <br /> i <br /> Total Fee: $ ���.� � Date Received: � i <br /> Date Approved: f.� " �:-. � `j y <br /> Entered By: � Permit#: ;^�lJ�� <br /> AT•T• INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Encl.osed ) <br /> ------------------------------/,.,------------------------------------ <br /> THE APPLICANT IS: (circle one ) Ot�iUER or ;CONTRACT,�R- <br /> ,-R <br /> JOB SITE �DxBss: � l l. � � ( (�/- t� � � U <. �� L �/C�� L f zzP: <br /> (work) <br /> � � PHONE: (home) `� l� � �� ,j �.> �-- <br /> NAME OF O WNER: ` I �� L � � t� l� ;. <br /> ,, <br /> %.(,l�.� tit t fCITY: r ' ��� r` C 1,��, ZIP: <br /> MAILING ADDRESS: �➢� � t %`� I ��'`�i ��:�'t . 7 - <br /> CONTRACTOR:���`/'c J'�/� � ���/I� �l"r;, � l k= C ! �7a �.,���1. �, PHONE: ���.� _ <�_,� �, <br /> � -� <br /> MAILING ADDRESS:1%�` i ( �a�'ii,%L�r�•- ���� ' j CITY: %"�(�;+' '`r � 3 ?� ' <C ZIP: �; ,J �/(.. <br /> STATE LICENSE: � `1~ / � � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> N�g: REGISTRATZUN � <br /> TYPE OF WORR: :1ew Addition '� Accessory Structure riove <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> � <br /> PROPOS�D WORR (describe in detail) : �� /� �•/� ��� /�� %���� /1 _ <br /> ���� i� �—�' Gb�'� — <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ ; � ' %� � �'� <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 wiil be in accordance with the approved plan. <br /> ' I - <br /> APPLICANT'S SIGNATQRE: / ' ) DATE: II/�' r� , F <br /> � �-� <br /> �''% <br /> . __ _ . . _ . . . <br /> fs� . <br />