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� 1Mt <br /> CITY OF ORONO - I3IIILDING PERMIT APPLICATION <br /> S <br /> Total Fee: $ ��- ` Date Received: <br /> Date Approved: <br /> t /� <br /> Entered By: �!�� pe�mittt: � �`� y <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN RE�7IEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------- <br /> --------------------- <br /> THE APPLICANT IS: (circle one) O�dNER o CONTRACTOR <br /> JOB SITE ADDRBSS: �� J`9 �'�'�� ���'�'�gs �/�y ���f ZIP: �� _ <br /> (work) . <br /> C l.�y�f /(�i�� �- � PHONE: (home) <br /> NAME OF OWNER: <br /> MAII,ING ADDRF.SS: ��'�-� CITY: �.���-�'-� ZIP: <br /> CONTRACTOR: �P � "" ��'�'�L���� PHONE: ��� �_I�� <br /> MAILING ADDRESS: ���S ��^l�'V'�s2C.IC �Q�S /`�! CITY: L-CC�I �/�G�Uv� ZIP:� �`� <br /> STATE LICENSE: # � � �� <br /> ARCHITECT/ENGINEER: ^�-" PH��� <br /> MAILING ADDRESS: <br /> CITY: ZIP: _._ <br /> NAME� REGISZ'RATION ,'''r <br /> TYPE OF WORR: New Addition Accessory Structure r.�ve <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> n ,�.C�2, <br /> PROPOSED WURR (describe in detail) : �'ri'Ll�� " <br /> (;�j �?�/ � G�Yt ��-t-�--.. , �La_ �7 �,, _ <br /> STORIES: �7'�- SQ. FEET OF EACH ��R= <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ � <br /> � G� c � <br /> I hereby apply for a building permit and I acknowledge that the informatic: <br /> above is complete and accurate; that the work will be in conformance wi�ha�ht <br /> ordinances and codes of the City and with the State Bui. lding Code; <br /> understand this is not a permit and work is not to start without a permit; an< <br /> that the work will be in acc rdance with the approved plan. <br /> / � _ � DATE: � ���- �`S� <br /> APPLZCANT'S SIGNATIIRE: <br /> r <br />