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I � CITY OF ORONO - BUILDING PERMIT APPI,ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: �'� '� <br /> P e rm i t T: /�c:��-� <br /> AT•T• INgpRMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- <br /> ------------- ----- <br /> ---------------------------- <br /> TgE APPLICANT IS: (circle one) OS+INER CONTRACTOR! <br /> / Il ,� �_ ' �`�� '_ ZIP: ���� I ' <br /> JOB SITE ADDRSSS: �'d� � <br /> (work) <br /> NAME OF OWNER:`-S.�i-�ne5 d- L'.k�P <br /> , �` ��(� PHONE: (home) � ?� � �<-`��3 <br /> t � ,�,�zP: S S�ci � <br /> MAILING ADDRESS: c� ��o� �l-)-��e,lwoce��,l CITY: � 'tf�i' '^� <br /> -- Psor�: �T�3 - ��� � <br /> CONTRACTOR: C� I + €x�S���c_ � •�. <br /> MAILING ADDRESS: I D�� �i l� �;.. �d_ CITY: ;�` ZIP: �S �y � <br /> STATE LI CENSE: '� �,3 S � <br /> ARCHITECT/ENGINEER: �` - <br /> PHONE: �`� <br /> 'i'�-..,,.. CITY: '�./`��. ZIP: ✓\ <br /> MAII,ING ADDRESS: ,,- , <br /> r <br /> '�=-__ REGISTR�TION � �. <br /> NAME: _ <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration �- Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ���1.�- t�v��£t� / \�� �`� <br /> ' � l� !�• <br /> �1,�< � l ,�e u� IE'- <br /> STORIES: � SQ. FEET OF EACH FZOOR= <br /> NO. OF BEDROOMS: GARAGE STAL.LS: ATT. DET. � <br /> , ,� -�. <br /> _,� _.-- _,w-- �--J <br /> �STIMATED C�NSTRIICTION VALIIATION (excluding Iand) s $ <br /> � -��� .� � <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�hI <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 wil 1 be in accordance with the approved plan. � <br /> :.� ��n� <br /> ;� �//_�,�� y <br /> APPLICANT'S SIGNAZ'URE:+" ��, /���� ' '— DATE: / � <br />