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� CITY OF ORONO - BUII,DING PERMIT APPL3CATION <br /> Total Fee: $ ��-�1Z� Date Received: <br /> Date Approved: <br /> Entered By: �('�t"v ` / <br /> Permit#: •��% / <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL B8 STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNER or CONTRACTOR <br /> , / S c� /��-^��� �. ZIP: � i. <br /> JOB SITE ADDR$SS: ;;� (� ,/ !� 6l �r� .� S <br /> (work) <br /> �, � „- � i_ �-� <br /> NAME OF OWNER: � �� « `-° �' � ���.< 5 C G, PHONE: (home) �/� � ����- <br /> �J - c` �-� � CITY: �J ZIP: ,� J` J Y�� <br /> MAILING ADDRESS: �o� C S .� �v� c- l �-c �� �- �^ <br /> l � 6 ���--�°�-�-'� <br /> CONTRACTOR: G, o<r ��� / � PHONE: � <br /> MAILING ADDRESS: J��' � CITY: ZIP: <br /> STATE LICENSE: # I�d,,�C <br /> ARCHITECT/ENGINEER: �ni �i PHONE: <br /> , <br /> MAILING ADDRESS: CITY: ZIP: <br /> pp�yr� REGISTRATION $� <br /> TYPE OF WORR: New Addition Accessory Structure Move_ <br /> Demo Remodel/Alteration Renovate Land Alteration_ <br /> / G� � �� �( �' �'�� x � �`- <br /> PROPOSED WORR (describe in detail) : / , �-�- ��- � � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. `--� DET. � <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ <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 Buiiding 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 acco�rdart'ce,with e approved �plan. � <br /> �---_- � / ;; ' . <br /> APPLICANT'S SIGNAZ'URE: i " / DATE: <br />