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� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> '�}>-� �~��-� <br /> � Total Fee: $ - �- ����ti- Date Received: '��' �a- <br /> Date Approved: <br /> Entered By: ��`` L� Z��+ <br /> � Permit#: 1 <br /> AT•T• I:NFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------.-_--�----------------------------- -- <br /> THE APPLICANT IS: (circle one) ( OWNER -or CONTRACTOR <br /> JOB SITE ADDRSSS: / �;�=� `%i�z�'f� ?ti� L�C' ' ZIP: -_ - > `l % <br /> ���� L.."- ,,� <br /> (work) �1 7� �'`��� <br /> �, .-��"G�� . 4 �_ �, <br /> � Cc-F.�'�p �i�t��/� d ��'c���T ��v�'� PHONE: �home) / �� S Z �� <br /> NAME OF OWNER: r z1��� _ <br /> MAILING ADDRESS: ��"k � ��.- CITY: C�,'rr�� ,`.'%1�/ ZIP: '��"?.? __ <br /> CONTRACTOR: pg��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINE:ER: PH��= <br /> MAILING ADDRBSS: CITY: ZIP: <br /> p�g: R.EGISTRATION # <br /> � <br /> TYPE OF WORR: New Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land teration <br /> - <br /> PRO�OSED W (describe in detail) : ��l'T % i � :-�i`-'�''�%�'r S�����' <br /> 4 � <br /> ���`=�T7�L , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�1R1fGE STALLS: ATT. DET. <br /> $STIMATED CONSTRDCTION VALII�TION (escluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above i�, 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 /> undeistand this is not a permit and work is not to start without a permit; and <br /> that �the `work will be in accordance wit the approved plan. <br /> ',/ t / / r � �"� <br /> APPI�ICANT'S SIGNATIIRE: <� / ' C�/�� DATE: /� l '��_ <br /> ' � - <br />