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L � <br /> � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �:�. 1 �� � Date P.eceived: <br /> Date P.pproved: <br /> Entered By: � C.�� � � <br /> Permit p: ��,;'1 i�' <br /> ALZ INFORMATION MUST BE SIIBMITT� IN FIILI+ BEFORE PI.AN REVIEW WII�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: /��G(. J�����t"r;;c� �[ �- L'i�vltr��� ZIP: ,=4�`s ��'% <br /> (work) �?��..� -��c�.'�� <br /> N� OF OWNER: <br /> ��r�.t t'S �• L�/P���✓ PHONE: (home) �3�'7/".�'�--3���_ <br /> p� l - r-� f <br /> I�iAII,ING ADDRESS: / �(�i ���^Jt������:r�� JC d• _ CITY: GJ:�£'G'�i.�� ZIP: �i-s_�// <br /> CONTRACTOR: C�3•�'h'/G`i ��:1�••+v' PHONS: <br /> Z�iAILING ADDRESS: CIZ'Y: ZIP: <br /> STATS I.ICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDR$SS: CITY: ZIP: <br /> N��: RBGISTRI�TION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate � Land Alteration <br /> PROPOSF.D WORR (describe in detail) : /U��= � ���� <�N � G-.�b).� •� -r- <br /> � - I��r� � �;:��d��� �� <br /> 1 <br /> STORIES: � SQ. FEBT OF EACH FZ,OOR:�GL�:J - /17i�1•� ✓ru�> L!�' <br /> NO. OF B�DROOMS: � GARAGB STALLS: ATT.L DET. <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �S�� <br /> T <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 wiI 1 be in accordance with the ,approved plan. . • <br /> � <br /> � > <br /> APPLICANT'S SIGNA ;,.,� - DATE:��"(y " ys� <br /> < � f U (J �� <br /> O� � � <br />