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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> . i <br /> � Total Fee: $ '7��)`� Date Received: � ' ;1 �v " y Z- <br /> Date Approved: <br /> Entered By: ,(°�� <br /> Permit�: ��(��.L <br /> AT•T. INFORMATION MDST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: "Z[ �T �" �S'�{f3•��'- C�-�E'�'6"`7� ��� ZIP: V v �� P <br /> (work) <br /> NAME OF OWNER: r-L l���t� ��"f�^��E"'�f�'/`Z� PHONE: (home) �.'r(� ��j� <br /> MAILING ADDRESS: �t'?'7 �S tH r,r�wGc��� CITY: �^-3 t��-�rl i r� ZIP: S���`� � <br /> CONTRACTOR: "-- _ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: R.EGISTRATION � <br /> TYPE OF WORR: New x Addition Accessory Structure Move <br /> Demo Remoc�el%Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �1`�'�.'� �1��Li��f1 1���� <br /> t <br /> ��� 1� [� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIIKATED CONSTRIICTION VALIIATION (egcluding land) : $ c���x�``�> 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 wil 1 be in accordance with the approved plan. � <br /> APPZ,ICANT'S SIGNATORE:��-�.-��j � DATE: ��� -- �C�-�-- � � <br />