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� � ' A CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> .� <br /> Total Fee: $ ��' �' �� Date Received: /�' ' `� - l � <br /> Date Approved: <br /> Entered By: �� --�'�'��� ��"� c <br /> Permit�: � <br /> ALL INFORMATION MDST B$ SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------�---------------------------------,�`-�------------------------- <br /> THE APPLICANT IS (circle one) 06�NER o CONTRACTOR <br /> r� ____�---'� <br /> JOB SITE ADDRBSS: � 7�C"� I � � a:-c ' `j� ' ZIP: <br /> (work) <br /> NAML OF OWNER: /-C'�� ��C l�"C/'��-- PHONE: (home) `f �/�' �' ' � 1 <br /> J � r <br /> MAILING ADDRESS: C� �� ` �`�G Mc...-c� �Q�TY: ('��rz;-��:-- ZIP: j ..� ..3j� <br /> � <br /> CONTRACTOR: � f� � r_�i�r C' PHONE: `� 7 l - G'�� Z <br /> -1 <br /> MAILING ADDRESS: `-� �/�C� �� It G/r����.,.� 17,�CITY: -� j."" ,j��: . �� ZIP: �S �� <br /> � q� � <br /> STATE LICENSE: � l� � <br /> ARCHITECT/ENGINEER: �71`c��.- J.>�f i'��tt � PHONE: C�i� -- �/� �-� <br /> MAILING ADDRESS: ��/ L �' �.�.��"� .?f -- CITY: �,,�'n'�,E�°< <. �3 ZIP: �>_��� j <br /> ` �� .. -'�-� � <br /> NAME: REGISTRATION #� <br /> TYPE OF WORR: New Addition�_ Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : l 'e�y�''r� �2��`�` ` �1�`�"' �'- <br /> ,�, <br /> / <br /> STORIES:__�� SQ. FEET OF EACH FLOOR: �`7�' <br /> NO. OF BgDROOMS:� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (e%C1udiIIg land) : $l�L`t`'t � �r <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 will be in accordance with the`approved plan. <br /> �'' �r ��� <br /> APPLICANT'S SIGNATORE: '� � ����';,�.�` ` DATE: L' C' �� L <br /> � <br />