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CITY OF ORONO � BL;�LDING PERMIT APPLICATION <br /> Total Fee: S ��' � Date Received: � '�3 - I�Z <br /> .�+�' Date Approved: <br /> Entered By: <br /> Permit#: `7� ��� <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OPiNER or C�NTRACT� <br /> �.� ' � <br /> JOE SITE ADDItBSS: ��1 � _������� ! ti�'� �� ���Ir: S � S t � <br /> (work) �7�-�7L�.1 <br /> f 1 � 7 <br /> NAME OF OWNER: ��I� v r_ v'v i"j ���u "✓y�L PHONE: (home) ri 2 �7 3 I V <br /> MAILING ADDRESS: I�i��C � � l� CZTY: L�J-A-�,��+�'� ZIP:���Z <br /> CONTRACTOR: Pg��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: P$��= <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � �� / <br /> PROPOSED WORR (describe in detail) : ���ti ^� �t i� ` �� T� � <br /> 'J (�-r�� � � � �-v <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALI.S: ATT. DET. <br /> �� .:_ <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ '� � <br /> I hereby apply for a building permit and I acknowledge that the informati�n <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 will be in accordance with t}� approved plan. • <br /> I <br /> c'` �_, <br /> APPLICANT'S SIGNATQRE: \ ti �� -- DATE: � "-Z � �- � �- <br />