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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> $ Date Received: <br /> Date Approved: <br /> Entered By: � Permit�: <br /> A7•T• INFORMATION MIIST BS SIIBMITT� IN FIILL BEFORE PI,AN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE A.PPZICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: n�,��' ��/��y wo�/� ��r� ZIP: �S� �j <br /> (work) �'�5- ��� <br /> NAML OF OWNER: ,�1�1�c i-/,��� �� if��`��- PHONE: (home) �/7/-0 3/3 <br /> I�SAILING ADDRESS: �? S I -Sf�/I�i v/�'v n �Z�� CITY: ��I'z i9 Tr� ZIP: S s 3 �j � <br /> CONTRACTOR: S cz �= PHONE: <br /> MAII�ING ADDR.ESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIZING ADDRSSS: CITY: ZIP: <br /> g�Mg: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration ;�r Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : /� S ��L /� 9 X 7 � C���r�C� �o��� <br /> �)v L lris;i.-.��' S �/c�c r�2c <br /> STORIES: SQ. FEST OF EACH FI�OOR: <br /> NO. OF B$DROOMS: GARAGB STAI.Z�S: ATT. DET. <br /> - �( � <br /> ESTI�SATED CONSTRIICTION VALIIATION (eacluding Iand) : $ � ,< �= �-' <br /> I hereby apply for a building permit and I acknowledge that the information <br /> 3bove is complete and accurate; that the wor3c will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that Z <br /> snderstand 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 /> i��% ' � <br /> APPLIC�NT'S SIGNATIIRE: � �> �z. � , � . ._ DATE: /! - 5= �.z <br />