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CITY OF ORONO - P�JILPING PERMIT APPLICATION <br /> Total Fee: $ Date Received: ,���� - � �� � <br /> Date Approved: _ <br /> Entered By: Y�'�:����'� Permit Il• 4� ���.%� <br /> tt <br /> p,I,I, INgpRMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> .._._ �----------------------- <br /> ------------------------ <br /> -----------------r"-=�=----- <br /> THE APPLICANT IS: ( circle one) OWNER o�CONTRACTOR /� <br /> --------,�-_----�`'� � <br /> `� �_- ' �� � � � <br /> JOB SITE ADDRRSS: � / �C� >�� f�z/�' �'� �✓��� ZIP: ) �� <br /> / (work)�L-, �- ���j� <br /> c� � PHONE: (home) ��� %��5� > <br /> NAI� OF OF7NER: �i� � / � � r�%�/��� <br /> � MAILING ADDRESS:������� - �j��.-�' � �,_� �/���ITY:���_����/�/� ZIP: <br /> �,. ;/� /� -� �(,�, PHONE: �7�-��� 7 <br /> CONTRACTOR: �C L r-f � <br /> � _ � �i <br /> MAILING ADDRESS: � 7 ��/ �, �� � �j /t-.% CITY: __-�i. ZIP: J � _ <br /> STATE LICENSE: # � �� ������"���'! <br /> ARCHITECT/ENGINEER: PHONE: _ <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> N�_ REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate �('" Land Alteration <br /> , <br /> PROPOSED WORR (describe in detail) : /��l�"'C✓�� �� �� ������ ���'� � C���� <br /> � ,�1� �-'�� C , ��', �Yc ����� ! � �%� � <br /> STORIES: SQ. FEET OF EACH FI+OOR= � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ,-�� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ r �' �G' � <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 t.ne <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 /> '--� �- -� DATE:���-� �. <br /> APPLICANT'S SIGNATURE: �--.�� i�J -"` � <br /> .��, <br /> �� <br />