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` CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ ���,,�.-) � Date Received: 1�'d ' �i 3 <br /> Date Approved: <br /> Entered By: ('��% _ <br /> Permit#: /f. `J <br /> ALL INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI, B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRA OCT� <br /> JOB SITE ADDR$SS: j*z-S ��!T�� ,�(/�'_ ZIP: is��� <br /> (wo rk lS`� "J`��G1 <br /> NAME OF OWNER:. /�FI� 4 ��/�.�y �D,�'� PHONE: (home)q7S �'�/G� <br /> MAILING ADDRESS:�Z-S �/�"1��7"� �//�: CITY:f�/'ffY�Z�}�i'� ZIP: ���� <br /> CONTRACTOR �NAI� ' �/�uG f�. ��,�U/1�1G�/ PHONE: �7�-- �j�;�Z <br /> MAILING ADDRESS: �J�-� �j �j/�� GjT CITY: L,.'Ga4�� ZIP: �j�j�� <br /> STATE LICENSE: � '�-- Cq�. P�� 8`�U - 530� <br /> �, �iZU - �6� 1 <br /> ARCHZTECT/ENGINEER:�i�f�/� �E��TZ�'��`��� PHONE: 9'1��� y��� <br /> MAILING ADDRESS: ��� �j/f,�,��/f /9U(.�� CITY: u�����"�%�I ZIP:��3�� <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition� Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ����`- �� /,"�'�`�iP�-�'�I ���Gc��T/4�(,� <br /> ��l��u� � �J2�� ��= � �� <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: Z� _ <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. '�� DET. � <br /> C� <br /> ESTIMATED CONSTRQCTION VALIIATION (eacluding land) : $ � �, /2-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 wil 1 be in accordance with the approved plan. � <br /> APPL I CANT'S S I GNATURE s � � i .G�'i Jt_.(��- �/ '�G'�'r� DATE: �f'� - �� <br />