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� • . CITY � ORONO - BIIILDING PERMIT AP"'TCATION <br /> Total. Fee: $ ��",��C%• Date Received: <br /> ��; <br /> Date Approved: <br /> Entered By: ';�;) Permit tt:1� � / ��= <br /> � 1 <br /> AT•T, INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: ( circle one ) O��NER or CONTRACTOR <br /> JOB SITE ADDRESS: �. 3 2��• `�/-�'��-� ^'-' c � [��f` ZIP: <br /> (work) y �y- �c��� <br /> NAME OF OWNER: � � 'I�-� 1'� r� � ��'� N PHONE: (home) �'�'1 Z - (� O� <br /> MAILING ADDRESS: �( (� �--y IJ 1JJ�O�� CITY: � 0 l� t�1(� ZIP: 5� 3 c��{ <br /> / ' -7 -� U,�-yv <br /> CONTRACTOR:__��O {--� L``�1'1 IG,1�.,�J( �.C�� YL`,j j !� C_.. PHONE: ��' �� � ! `-I �. <br /> MAILING ADDRESS: ".�;> � �� � .�°'� ��� CITY: C 001.� �p��D� ZIP:_�Cjl.�.� � <br /> STATE LICENSE: i �J � � � <br /> ARCHI TECT/ENGINEER: I� �t`'1�- 1���N►J � �t! ��"'�-�r=% ''-- PHONE: � �j� — Z-8 9� <br /> MAILING ADDRESS: � I �� �O � �12._`� tl�l �� CITY: �.-t;X'�h� �(�y'"�+{��� ZIP:_ �`,�t" �j ��> <br /> N�: �A�Lr��,�� �,�,I�.G REGISTRATION � <br /> TYPE OF WOR.R: P7ew_�� Addition Accessory Structure riove <br /> Demo Remod?1/Alteration Renovate Land Alter_ation <br /> PROPOSED WORR (describe in detail) : � � To2�� ��-t�rjl (� �+�-�G� <br /> STORIES: Z SQ. FEET OF EACH FLOOR: �L� I �I S �- <br /> NO. OF BEDROOMS:�_ GARAGE STALLS: ATT. � DET. <br /> c� -� �� C� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ U � � <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 /> �- <br /> APPI.ICANT'S SIGNATIIKE: �'1 DATE: I Z- � �� � � <br />