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� . <br /> CITY OF ORONO - BQILDING PERMIT APPLIGATION <br /> Total Fee: $ � , („(i j � � � Date Received: <br /> Date Approved: <br /> Entered By: � <br /> Permit#: i�� (I 3 <br /> AT•T. INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- -=-� --------------'------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> � �-- _ , <br /> JOB SITE ADDRSSS:� C�n/J �'ll -Y'�'I%1%�� ��� �!c-, �-' ��(� ZIP: J 5 - <br /> Z- yS <br /> (work) �� ' <br /> N� oF owrr�x: ��a�G'k�� � 1�C �1� � ��G�-� PHorrE: (nome) �"`��--�1�; j <br /> MAILING ADDRESS: CITY: ZI�: <br /> "� , //// �> ,�- <br /> CONTRACTOR: 1 ,� -�'C � ��`l.�S . �I�C� PHONE: `t`7� X 1'� ( <br /> MAILING ADDRRSS: �,� Q- ��),�� ��% CITY: ,!�L`X�Gj ��!�"C.1C ZIP: 7 ) � ��� <br /> STATE LICENSE: � [�C� �y��j�� <br /> ARCHITECT�ENGINEER: ����C� ��_�I L CZ��• PHONE: ��L�- ��G � <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAME: R.EGISTRATION # <br /> TYPE OF WORR: New � Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �1,L�l.� � k'�E(-� � ��(,U t`�u 1'I�-�- <br /> 1'� ` <br /> STORIES: �j SQ. FEET OF EACH FLOOR: �:�� i��� _ <br /> NO. OF BBDROOMS: ��/� GARAGE STALLS: ATT. �h DET. <br /> ESTIMATED CONSTRQCTION VALIIATION (ezcluding land) : $ � ���%� i.�'U 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 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 /> — ,�� � 1 <br /> _ �� �� �� -�- <br /> APPLICANT'S SIGNATIIRE:` ��(X.� ? DATE: � I� C � <br />