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/` . <br /> • CITY OF ORONO - BQILDING PER�iIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: ,C��� Permitn: /`J i <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FULL BEFORE PLAN R.EVIEW WILZ BS STARTED <br /> (See Check-aff List Enclosed) <br /> -------------------------------- -- <br /> THE APPLICANT IS: (circle one) O��NER a�r CONTRACTOR <br /> JOB SITE ADDRBSS: �� ��� � � ��'�� �'r � • i�<' � 4�'�� V" C� ZIP: <br /> (work) ��S " `��c <, C <br /> NAME OF OWNER: �;,-, Y _� _ r ,,. � - PHONE: (home) `� jS _ �S � `) <br /> ( '� " CITY:�1 ( � �'L; jjyZIP: � S ��l `�I �--_ <br /> M�IILING ADDRESS: � � �, �/ I �� ���t` �� ��-�.,�� � � <br /> CONTRACTOR: `�� < �IG ���' . ��r r I�I � Li� ���� (�� �� ��� - <br /> PHONE: • �� S�� i� ' S<< � <br /> 7 r"' cl�: ��., (�,. � � y_ zzP: � C- 'S �' 1 <br /> MAII�ING ADDRESS: / �,' S / `� � �' � � �^ <br /> STATE LICENSE: � <br /> ARCHITECT/EN6INEER: PH��� <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> N�_ REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure <br /> Move <br /> Demo Remodel/Alteration __..-- Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � - � �+ y ��ir r C � � � �` ' � <br /> � �� �. ��r ��� - ; � �� I � .; � S� ' ' <br /> STORIES:_�, S4. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATIoN (ezcluding land) : $ ,LC `� �� C� r <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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code, <br /> lnderstand this is not a permit and work is not to start without a permit; and <br /> hat the work will be in accordance with the approved plan. � <br /> (� � ��� �" <br /> �LICANT'S SIGNATURE: '' i� DATE:^ - �! � <br /> .` <br /> . . . <br />