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CITY OF ORONO - BUILDING PER�IIT APPLICATION <br /> Total Fee: $���.(� / b Date Received: �//0��7�- <br /> Date Approved: <br /> Entered By: �'/_ <br /> Permit#: �,-(r � <br /> ALL INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Encl.osed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O��TNER or CONTRACTOR <br /> . �, <br /> JOB SITE ADDR$SS: �'���i� �l�tl D4'wu�u �-dAi.� ZIP: �;�� , r E <br /> � l0 � I�—II� '" 23 2�1- oUl `� (� fc��,�4R(work) �3�0—� 4�� <br /> , <br /> N� oF owrr�: (,� f �U h rvl � � �►-k�N�� I l�v�� �_i � PHONE: (home) 4� � -�`�7,�" 4 <br /> MAILING ADDRESS: � ��O SI�I�pYwooO IW(`+-0 CITY: v'(�-or�:� ZIP: f!�?,�'t ! <br /> CONTRACTOR: " : r' �,.b�t c. PHONE: ��Z-�I'4� 3 rJ <br /> MAII�ING ADDRESS: ` "%�� � �:.l.v��rL`�to�-_�t �-�vE . CITY: ��T,�.o�i5 �'r1�_u,..����i,.J,ZIP: �`_.,, i ; .;... <br /> STATE I�ICENSE: � DOOSqSq a�:`'' ''��- PAbE.K l022 -8SP>�I <br /> n � <br /> ARCHITECT/ENGINEER- 1`n N;'' �' '� �f��fi='E'' � PHONE: <br /> MAII,ING ADDRESS: ;.`�;-`� � � ' , - M� <� �`��i. �,� U � CITY: C. �-4 r����d��;�.��.l ZIP: � `�� I �� <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition y�, Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : AV� � � <r ��, jT�C o�k'_. '"f U E �'';`;' '��-� ''r '' ;•''r�' `�1 <br /> ���� ��, � �Afu��� �.. <br /> I`:.�ul�� {-1��,E�� � �F�; E��� E �T�►OR. <br /> i'�i u�7;1i:r_; �""�� j:I�, ,• .l , <br /> I�s m T" F�E� � ���=� � �.�� �-� � � I �,�o <br /> STORIES: �:' SQ. FEET OF F.ACH FLOOR: � ���`•�' F � 0'?(-- �L�C^C:% <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �.✓- DET. <br /> �-, <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ '�D��D00 -'' <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 /> i <br /> „ + <br /> �'� ` ���,:f ii� '�'� <br /> APPLICANT'S SIGNATORE: ' t: ' •.` ` .,•d� .� DATE: �� , ' ' <br />