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' ~ � CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> Total Fee: $ �— ' = Date Received: <br /> Date Approved: <br /> Entered By: ' %�, <br /> Permi t�: �p D g'� <br /> ALL INFORMATION MIIST B$ SIIBMIT'�� IN FDLI. BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-aff List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER�r CONTRACTOR <br /> JOB SITE ADDRSSS: j ? �f� � ���iL�' L �� . ZIP: ,}_��...FG•�� <br /> (work) �'�s--�:�c��� <br /> N�ME OF OWNER: �7;�-► ��✓n ��, ;r;�a� �y���i'Z� PH�NE: (home) =i";'r-r%�".�r., <br /> MAII�ING ADDRESS: ��.�c� _�P;=2�s�Ls� t'�. CITY: �.��-,,���:� ZIP: �;��.�z"�f� <br /> CONTRACTOR: S�t V�1 � PHONE: <br /> MATLING ADDRESS: CSTY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION u <br /> TYPE OF WORR: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate j�_ Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �/��t' ��-�� �'-�'�7�'�' :�'���v>>��� ���' ��=� <br /> � r, . � ���i�<< :.� ���"� ���� �%;��,^� (ii J��� <br /> STORIES: SQ. FEBT OF EACH FLOOR: _ <br /> NO. OF BSDROOMS: GARAG$ ST�iLI,S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ i� l�E> `"� <br /> I hereby apply for a building permit and 2 acknvwledge 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 /> , <br /> APPLICANT'S SIGNATDRE: �,�% ,���',��,,,,. DATE: �;� ���� <br />