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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> ♦ <br /> Tota� F�: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit�: <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FIILI� BEFORE PL�1N REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRAC 0 � <br /> JOB SITE ADDRSSS: � 7 S � � h D r�� �, �l✓� � 1�'� ZIP: � hr� G <br /> (work) <br /> NAME OF OWNER: �Q- !� �� /`- �,`, � � � PHONE: (home) <br /> MAII�ING ADDRESS: � � S � �hQ �'�- 1 i�/'�� �i--CITY: �r G�/U L� ZIP:� `J 3 9 <br /> CONTRACTOR: �Y +" (,L S S! /!J� ��O t`I l�J(�� �I11�'i • PHONE: � 3 J- �.S 5'� <br /> MATLING ADDRESS: �'(� � �� [ �/v 5 <br /> CITY: �VI,�L� z IP: S 5' � �� <br /> STATE LICENSE: # Q' �. 1 �- <br /> ARCHITECT/ENGINEER: pg��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��' lL 1� D �t-� � � � <br /> J C � �., � �--}- � � �� �"� � � <br /> STORIES: SQ. FEET OF EACH FLOOR% <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. f� _ C �\ <br /> , s �D�� �`� <br /> ESTIMATED CONSTRIICTION VALIIATION (escluding land) . $ <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 /> � �/ DATE: � �7 �� -- <br /> APPLICANT'S SIGNATORL�: �' -� <br /> � <br />