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CITY OF ORONO - BUILDING pERMIT A.PPLICATION <br /> '?'ctal Fee• $ �`�' �, Date Received: <br /> � Date Approved: <br /> Entered By: � --��'-ti' / <br /> Permit�: (�� � �� <br /> ALL INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WII.I� B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �� � � � � R ZIP: C; � 3S b <br /> (work) <br /> NAME OF OWNER- � ►er - -� " ('_ PHONE: (home) 1 �5 "�1 �� <br /> MATZ,ING ADDR.ESS: CITY: ZIP: <br /> `:� r�.,., <br /> CONTRACTOR: L�L� I�PTIU� —"� ; PHON$: --� ', �f <br /> MAII,ING ADDRSSS: �. (� �,x ��� CITY: Lh�G �f�kE ZIP: .-`�� `� j�, •� <br /> STATS LICENSE: $ -._.._ _ <br /> ARCHITECT/ENGINEER: �{��i� ��. A���=c'_ PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: R.BGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Struciure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) :�� r�c;�� c�A K�nk,.c� �x«� c%l� <br /> � <br /> �-��; �� �-r�,��,�� �� �,\�� �a.����-- �_<�:; �- �.l� � �-�.e <br /> ��c�_�.�,;. ��,.� �.��• �-l.� 5��-tie s.�� _ ��x/6 = !9� s�,. <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> NO. OF BgDROOMS: C:ARAG$ STAI�LS: ATT. DET. <br /> � ' <br /> - y��� �f. <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding Iand) : $ <br /> � 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 accor, ance wi the approved plan. <br /> 2 �' � <br /> APPLICANT`S SIGNATIIRE- ,u� . DATE: �.,� 't � (���`/ <br />