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` ' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 'Y-J� �� Date Received: <br /> Date Approved: <br /> Entered By: l'1✓ s, �� � c✓ <br /> Pel�ntit r. <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN RES7IEW WILL B$ STARTED <br /> (See Chec}c-aff List Enclosed) <br /> ------------ <br /> ------------------------------------ - <br /> --------------------------- <br /> TgE APPLICANT IS: (circle one) Oi+TNER or CONTRACTOR� <br /> JOB SITE ADDKRSS: � y �� 5h«�`�u%���� ��� ZIP' <br /> (work) <br /> �� PHONE: (home) � 7/-7� �"7 <br /> N� OF OWNER: ///�i r ��� �-f'cL-c.?�-1 +-L <br /> i <br /> MAILING ADDR.ESS: l �'I 7� S�ia.4,. u,�c��2.� CITY: �l�'��i?.Q IG�/"'i'�%f�ZIP: <br /> CONTRACTOR:�_� ��f'1 S�iPL �� - PHONE: �� 3 - 3�� � <br /> , <br /> 7�71T1�p �+ ^ 7 / � c cz�: i�p -; ���i1 zzP: .-'3� <br /> MAII�ING []i/LS�i+SJ� /��- / �' �1• n ��T11 �— <br /> STATE LICENSE: � 3 9�G � <br /> ���3�' _ 3�3 <br /> ARCHITECT/ENGINEER: ��2 L2-C.� � ,�� �� PHONE: �I j�?,- 7l.�`� <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> NAME: R.EGISTRATION n <br /> TYPE OF WORR: New Additian Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Z,and Alteration <br /> PROPOSED WORR (describe in detail) : �-�: �Zc G7� f`t-� �a-�� � " ' "� � <br /> � <br /> STORIES:�_ SQ• FEET OF EACH FLOOR: /Z <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � g �7 l . �-`�- <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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code; <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 wit,�,i the approved plan. <br /> � ,.� ,��� <br /> '' � ����'�-�� <br /> APPLICANT'S SIGNATURE: `��� (2��- � _ DATE: C� <br />