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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /�� • `-�j Date Received: � <br /> Date Approved: <br /> Entered By: �,�lU <br /> Permit tt: r (�m�� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> ,---.._.., <br /> THE APPLICANT IS: (circle one) �VNER br CONTRACTOR <br /> �,, <br /> JOB SITE ADDRBSS: Z��� S t�c'r��- �}"-P Nt� ZIP: <br /> .�i -/IJr� =�3 3 L cc�� Z W;J <br /> (work) �i�.:_5.`��l`�•� <br /> NAI�II? OF OWNER: ��C�t'f LI �4- ����'l i /'1 l : OLi f��, PHONE: (home) �f]�-L�l n`� <br /> MAILING ADDRESS: j'� (aC� 1 �-C;`_`�f �'"�� CITY: +{r "` z' �i ZIP: L�.��I <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��1/���_ <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: I�gG:�I <br /> NO. OF BEDROOMS: _'�j GARAGE STALLS: ATT. _3 DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) : $ /`7L�, ��� <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 will be in accordance witn the approved plan. <br /> �y��� y�,� `,�, /� j'� <br /> APPLICANT'S SIGNATURE:/I(l`L.L%l1 ; ,� 1 �C /�C�Ct.��r' DATE: ���.,�3��c� <br />