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a <br /> � , CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ �� ,;,'? Date Received:S���- `1� <br /> Date Approved: <br /> Entered By:�rj�� Permit�: L�U,�- <br /> AI�I� INFORMATION MIIST B$ SIIBMITT� IN FULL BEFORE PI,AN REVIEW WILL BB STAR2'F.D <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------�-�-��-^---�--------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> .. . , <br /> , r - <br /> JOB SITE ADDRSSS: • �� ��' �.�� -�� �`�� ``�. � � I���-,� ZIP: <br /> c.. � � � � <br /> (work) <br /> N� OF OWNER• �f.t/ I C�. _ � �l �c /z �._ PHONE: (home} 1 'i _ <- - � � <br /> . � <br /> MAZI,ING ADDRESS: Z 7 (,� � �r.� � i,:��l"�: �u "'� =- ZIP: <br /> '�:-� , PHONS: �/��"_ � � � Z. <br /> CON�CTOR: I f��r: � �, ,, � , ��� �c^ • � �- <br /> � / <br /> MATLING ADDRESS: � ��I � ��z-<':� �_�� /: ����' �l' CITY: ,���-'�-� ZIP: <br /> STATS LICENSE: � �;(�(�'� <br /> ____ i <br /> ARCHITECT/ENGINEEFt: \�,-1�-.� . 1 �`-t- � 5; �- PHONE: `� �`j C: �: ' � <br /> : <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N��: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo� Remodel/Alteration=� Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) :�y y�.�,,-� �'�✓�� �t� `-.= e•�- C /� <br /> i� a � <br /> 'K: � l� ..,.�.C•` ���. .t. <br /> � <br /> S T O R I E S: SQ. F E B T O F E A C H F I,O O R: _ <br /> NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIHATED CONSTRQCTION VALIIATION (eacluding land) : $ � �� L� �% ; n c' <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 /> '? <br /> ,� ; '` f��' �,_. i" . <br /> APPLICANT'S SIGNATORE: � ��-��-� DATE: -> /� ` <br /> �;: <br />