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i <br /> ' R � <br /> CITY OF ORONO - BOILDING PERMIT APPLICATION <br /> Total Fee- $ `%� �4 ` Date Received:�- � +� �� � <br /> Date Approved: <br /> Entered By: ' , "'!1 _ <br /> Permit�: �' <br /> AT•T• INFORMATION MIIST BE SDBMITT� IN FIILI� BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> -� —� ��.. <br /> JOB SITE ADDRSSS: �`���L,.� �hP`��` �'-' �; ;;'j _ �s,�Y ZIP: � j -� �7i <br /> (work) �l T��5�� � <br /> s� oF owNEx: �iC h�l?�� (,�� � ��p�'��i,�jV�S� P$orrE: (home) �I�''Z�-5 �, <br /> MAILING ADDRESS:,���� �-bi�V��I�'J � �1�' CITY:��ij'�1��iYr� ���ZIP: `.����Z� <br /> CONTRACTOR: ����'�7 �' PHONE: <br /> MAIZING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: �i�!'�J � PHONE: <br /> �iAILING ADDR.$SS: CITY: ZIP: <br /> �I�ME: RSGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> / / � ,. <br /> PROPOSED WORR (describe in detail) : ���i��l�'1 C' � ����'/` � �- /—` ��` � � � <br /> �� l:f�� 'r c� D�"��L � �-1 r� - <br /> STORIES: �c��' SQ. FEBT OF EACH FLOOR: �`�� � <br /> NO. OF BBDROOMS: � ((,'�j C-�ARAGB STAI.LS: ATT. DET. <br /> �/ � ' <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ���y�-�LJ �' ��� <br /> i hereby apply for a building permit and I acknowledge that the information <br /> ;bove is complete and accurate; that the work will be in conformance with the <br /> �rdinances and codes of the City and with the State Building Code; that I <br /> �inderstand this is not a permit and work is not to start without a permit; and <br /> ;nat the work wiI l be i a�co�ance with the approved p an. <br /> � / � ` �--� <br /> <_ <br /> , <br /> '.PPLICANT'S SIGNATDRE / � - �'�;L � - y2L � �t ti.� DATE: � ._ _ � <br /> , <br /> / <br />