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� � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> � Date Approved: <br /> � <br /> Entered By: Permit#: `���U <br /> ALI, INFORMATION MDST B$ SIIBMITTED IN FIILZ BEFORE PLAN REVIEW WI?�L BE STARTED <br /> (See Check-off List Enclosed) � <br /> ------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: � ��� � � ZIP: S�39� <br /> �i�-o�Q �; .L,� �r- (work) 4�o •-O 66 3 <br /> NAME OF OWNER: Qa�'` �",�i�w5 on� PHONE: (h ome) �l?�-�'S'o'� <br /> MAILING ADDRESS: 3� VJa-�r 5�'�-� CITY: ���lSior ZIP: S-S33/ <br /> CONTRACTOR: �-e �� pH��' <br /> I�lAILING ADDRESS: � CITY: -' ZIP: ^ <br /> STATE LICENSE: # ^ <br /> ARCHITECT/ENGINEER: ��- ` � PHONE: — <br /> MAILING ADDRESS: CITY: � ZIP: ^ <br /> � <br /> p��: �' REGISTRATION # <br /> TYPE OF WORR: Ne Addition Accessory Structure Move <br /> Demo emode Alteration�_ Renovate Land Alteration <br /> . 5 � �-'�5;���^y <br /> 0 <br /> PROPOSED WORR (describe in detail) : � ������ S'���15 � � bia'�'Q'� <br /> C�m crc.t b�o u U w o o S���� ct,�� a.�- ��e <br /> p a��. �o o� ��. �r�s�� . 30'x ►a' S,� o-� s� {��,�: <br /> � <br /> STORIES: � SQ. FEET OF EACH FLOOR: �,70 0 p v r S,�a C e <br /> NO. OF BBDROOMS: O G�,RAGE STALI�S: ATT. O DET. O <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ 30p�d0 <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 wil 1 be in accordance with the approved plan. � <br />' APPI�ICANT'S SIGNA DATE: �� -19'�d <br /> .� <br />