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CITY OF ORONO = BUIi.DING PERMIT APPLICATION <br /> Total Fee: $ ��i � _ Date Received: <br /> Date Approved: _ <br /> Entered By: � permit�: ��. '� 1 <br /> AT•T• INFORMATION MUST BE SDBMITTED IN FIILL BEFORE PLAN REVIEW WIZS. BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: ��'1C -� �� l� -t //' ZIP: <br /> , ;� - - , , -� .. � � (work) �'�� % �.�y���-� <br /> NAML OF OWNER: .�JGZ.(�Li �i- 11C� f i� c��� �c���r�c°= PHONE: (home) �-1 7 S-C�lC� � <br /> � <br /> MATLING ADDRESS:��j�r:C� 1 ��<-�- ��! CITY: %ac._ -' �C:� ZIP: �tj �j� 7�_ <br /> CONTRACTOR: � ';, _ �1 t « . f PHONE: LI 7�1 - -'���1 Sc� <br /> �;�,1- tc cz�: `li���l���c=r��(<<,�c� zzP: <br /> MAILING ADDRESS: (��� �n'�u - <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> p�E: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration�_ <br /> PROPOSED WORR (describe in detail) : ��i � t,�'i.:`�a i ��a-a��N�' G�^�� p���"'��0`� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding 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 conforinance 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 /> � APPLICANT'S SIGNATURE: � )> � -��/ /���.c•�� DATE: � �2 I�l���� <br /> d��1`r> <br />