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� CITY OF ORONO - BUIZDING PERMIT APPLICATION <br /> Total Fee: $ � �4�. `�5 _ Date Received: <br /> Date Approved: <br /> Entered By: i�'�� '` Permittt: _�i/J' <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIETd WILL B$ STARTED <br /> (See Check-off List Encl.osed) <br /> ------------------------------------------- <br /> THE APPLICANT IS: (circle one) 0�+7NER or CONTRACTOR <br /> JOB SITE ADDRRSS: ��V� ��'�C�.\\`''�k O�\v� ZIP: <br /> (work) <br /> NAME OF OWNEF2: �--���� �G�� PHONE: (home) <br /> 2 v � �� � CITY: ��l��1 ZIP: ����,\ <br /> MATLING ADDRESS: � "JO� S���V��.\ �� � - <br /> CONTRACTOR: ��.i\��� \. '����`"� ! S� PHONE: r��v� �"�aV� <br /> c� �. ���" ZIP: �����V <br /> MAILING ADDRESS: �x��� �-. �� �� CITY:�� <br /> STATE LICENSE: � OO��i� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIZING ADDR.ESS: CITY: ZIP: <br /> NAME: R.EGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : JJ�� <br /> � \���.���.��J ��� �,`'�\��0�S�v�5 <br /> �:,�� ''r. �.`� ` �GS�� ���, `���1 . <br /> STORIES: SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS: GARAGE ST�LS: ATT. DET. <br /> - Q�1 �1 �� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl - $ �� \v�� � <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 T_ <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 /> �, �' �1 <br /> APPLICANT'S SIGNATURE: ��a_1����C;�y:�'w'�,� � DATE: �� �����_.-. <br />