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� <br /> , CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> � <br /> iotal Fee: $ Date Received: <br /> Date Approved• <br /> Entered By: Il. <br /> Permit n. <br /> ALL INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN RE`7IEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O�dNER or CONTRACTOR <br /> JOB SITE ADDR$SS: �,/ }��i .. C�G3%'l�%f���.�ia Z IP: :3 � �.J � <br /> (wark) �.�� t, t�L=•f 7 <br /> NAME OF OWNER:s71 //1/1 � 1 �1�Vr I �C� l��t�.�.�i� Y PHONE: (home) �1�i -3�5� <br /> MAILING ADDRESS: ��a4'o� • �d�,,,•n��I'��� � CITY: ���d�C?' ZIP: :;i������� <br /> � PHONE: y"'3 J- �{�OG� <br /> CONTRACTOR:�/V�f�r jv f�r�T t�� �- _ <br /> r�,zzzNc �nxEss: /� ��"� � �lG��u�iv cz�t: �iu�►i�� 1=���� zzP: �;�.� �� �% <br /> STATE LICENSE: � ��'>' ; �� /�/_� � <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CIT`i: �TD= <br /> N�y: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration �� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : iVe�.� ��rIYC�C� � �'�c uteH=�TT�t1 �nr �^ <br /> STORIES:�_ SQ. FEET OF EACS FLOOR: <br /> NO. OF BEDROOMS: G�iRAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $�/�- ,��C�' <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 with the approved plan. - <br /> / r . <br /> APPLICANT'S SIGNATURE: �' —"= '2 � ` DATE:7 ��� �' �I� _ <br />