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CITY OF ORONO - BD". LDING PERMIT APPLICATION <br /> Total Fee: $ q���d;1' C� ! � � • � � Date Received: � � �`Z <br /> �'` <br /> Date Approved: <br /> Entered By: � <br /> Permit#: � � % �� <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII,L BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one) O��TNER or CONTRACTOR <br /> JOB SITE ADDR$SS: `�"�� i( `S hctc�y 1^'�'C� ZIP: <br /> (work) <br /> NAME OF OWNER:/ �� �'�� �°L f � S� PHONE: (h ome) �I 7/- ��� S � <br /> MAILING ADDRESS: �2.a� �( Sh�c��� i�✓„ c'c� CITY: ZIP: <br /> CONTRACTOR: ��i 1�'n I'��T� PHONE: L/a � - � l� `/ <br /> MAILING ADDRRSS: � �/�J��' �o � ' � �V�" �'- CITY: �Uc�e i� ZIP: ��7�/ <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Pg��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�g: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �'7 k C�u ���-1��Z�}-� <br /> STORIES: 1 SQ. FEBT OF EACS FLOOR: 3 St�,j I G a�� q� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ���� �" ��� � � <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 /> �_ <br /> APPLICANT'S SIGNATORL�: C�C-�� DATE: <br />