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CITY OF ORONO - BUIL:�INGtiPER�iIT APPLICATION <br /> Total Fee: $ �� � � U Date Received: � �-'% � / Z-- <br /> V/,^ Date Approved: <br /> Entered By: x�,,�c.`" <br /> Permit#: `f/ .�J� <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FULL BEFORE PI�AN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one) 't+1NER , r CONTRACTOR <br /> JOB SITE ADDR$SS: lZ� � � ��Qi�l (,�' C�1(.� �'� ZIP: :'��� I <br /> (work) <br /> C PHONE: (home) <br /> N� OF OWNER: ,e� ��/{V � <br /> MAILING ADDRESS: Z�� � C6�'/�'l.7(�1(.c: o� ��CITY: �7ClL'�-S�c�'� ZIP:�S .�'�I <br /> CONTRACTOR: P$��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �v����,� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> pp�g: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : '�� �c�f) �-Y/=t/�l�'�/c_ �y l�1-,��'� <br /> (�L '" L < <' - � ; <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STI�I�LS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALIIATION (egcluding land) : $ /�Z C�U i <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 wiI 1 be in accordance with the approved plan. <br /> APPLICANT'S SIGNA -i � E� C' L> DATE: �Z��J <br /> r <br />