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s <br /> � <br /> CITY OF ORONO - BUILDING PER'�iIT APPLICATION <br /> Total Fee• $ .t� l'� 1 � � �J Date Received: <br /> , Date Approved: <br /> Entered By: ���=�' �. <br /> Permit#: �'"����� <br /> AI,L INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- "' <br /> ------------- -- - --------------------------- <br /> THE APPLICANT IS: (circl.e one) OWNER or CONTRACTOR� <br /> JOB SITE ADDR$SS: �/g � �� (K � (.C� ZIp= !�`7 3S � <br /> (work) .�,�-'�/,�/ <br /> NAME OF OWNER: �E,N�`� ��-�C�1` ,�u?�1'.�x16-I`ll��'ri PHONE: (home) �'(�'0��� <br /> MAILING ADDRESS: �l�tj �O � YCD � CITY: �12.OJ�C1 ZIP: ,�,� 3.`j [.� <br /> CONTRACTOR: � � ,�Z .� "»�,'T R l.LG 7�D YL PHONE:_�� �p " ��j�� <br /> MAILING ADDRESS: ,5 �(p� (� �(/'-r� Cj � CITY: ���R� ZIP: �,j y� / <br /> STATE LICENSE: � ��� ��%�S <br /> ARCHI TECT/�: ��� V-L.�42. G'fL PHONE: ��� � /I� / <br /> MAII,ING ADDRESS: -,� g ��}-J2./Lt'F_ T CITY: �f n�. ZIP: �'j�vt.. � <br /> NAME: ��_���2�_ REGI STRATI ON # <br /> TYPE OF WORR: New Addition� Accessory Structure biave <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : (��rm. �pQ.rT�cryt � O 1� a� �-- 7�� <br /> 5��. �UUILC' I'( �'r� � lrt U l�-7/� C-�-5T � � r� L- C-/r� �-' �C> >'t�3'f E-C-7� <br /> STORIES: �L SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALI�S: ATT. DET. ( <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ 6�7 BQ 1,.7 �-- <br /> I hereby apply for a building permit and I acknowledge that the iniormation <br /> above i s comp 1 ete and accurate; that the work wi 1 1 be in conf ormance 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 the approved plan. <br /> APPLICANT'S SIGNATIIRE: �"1 DATE: �� �' ��- <br />