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� � �� ' CITY OF ORONO - B�II.DING PERI�LIT APPLICATION <br /> Total Fee: $ //J• /�i� Date Received: <br /> Date Approved: <br /> Entered By: � L,:-� G <br /> Permit�: ��-�d <br /> �I� INFORMATION MIIST B$ SUBMITT� IN FULL BEFORE PLAN REVIEW WILL B$ STARZ'ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> � APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRRSS: � L�L� ZIP� <br /> (work) <br /> N�ME OF OWNER: � �"-c.. PHONE: (horne) <br /> MAILING ADDRESS: CITY: ZIP: <br /> ��l ��/��5 C� G�5 <br /> CONTRACTOR: i..�-�'`tly N,.1� #'c�'-� S��l�'r C'C� S � �, PHONS: ���-L�/��I <br /> IK..AILING ADDRBSS:��I 1 l.f..�'�-'�-�f,c1���'/�s CITY:��2._i C�1��Y 17r1�TIr.ZIP:,���j�� <br /> C' <br /> STATS LICENSE: � �"��/Y�/l� <br /> ARCHITECT/ENGINEER: PH�NE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> N�: RBGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Struciure x Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : '� ' � � � <br /> � �r ' �ur� c� O r�[ � � ' ' � �' <br /> ��LL��1 i�� : <br /> STORIES: SQ. FE$T OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAG$ STAI.LS: ATT. DET. <br /> c�'J � <br /> ESTI1rSATFD CONSTRIICTION VALIIATION (eacluding Iand) : $ �����:`�' <br /> T hereby apply for a buil.ding permit and I acknowledge that the information <br /> ;bove 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 /> jaderstand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. • <br /> A.PPLICANT'S SIGNATQRE: / DATE:J5 �'� <br /> �- <br />