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R ' . CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> /� ' �f ,� ;; � Date Received: ��� ��'� <br /> Total Fee: $ �l � --T <br /> Date Approved: �� <br /> , ' t <br /> Entered By: �;) �. <br /> � Permit,r. � <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------- -- <br /> THE APPLICANT IS: (circle one ) O��lNER or CONTRACTOR <br /> JOB SITE ADDRSSS• '� i, :-'�--'.:.--_ ' S��i�t��;.._. �,,��^-�:..:-��. ZIP: <br /> � (work) z�2���rc� � �� <br /> . <br /> NAME OF OWNER: `�✓►�� �`c �=�M�, t!�:=-%."��-�--�''`r=�,:_�r, PHONE: (home) �`.;`'". -��� �, <br /> MAILING ADDRESS: 12c..-�t `�P�..E G'✓P��� �!c'J'� CITY: MPl-�� ZIPz �i��={��� <br /> CONTRACTOR: �'r-��" '"`� �,�,r�;=� • PHONE: --1`�. %_,�� = <br /> MAILING ADDRESS: i �,�I ��'^•��;.%<'�f- ��--� CITY: wo=';>�='�`'`"��" ZIP: - - - <br /> i <br /> STATE I�ICENSE: n �?��-��"" <br /> ARCHITECT/ENGINEEFt: ��-H'� p�- �,_r-';y ,_,'--,:.`.`... PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �A�;: ' R.EGISTRATION r <br /> TYPE OF WORR: New � Addition Accessory Structure biove <br /> Demo � Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : f�� `��=i �✓�-��J�'���'-� � r"���'r''�.::-.��, (',1'J�✓;�'�1.�, <br /> ✓'�p�t�_1.,-, ':i:.1.-''Z<;i,�-�-;,,.� �,��V vP!1�^kJ, [.�.✓�-y;:.;���! ,G,?-F M f r�.r-, FI F.J�:.i .- <br /> ;QpM,�:�'.�u�`"'�' r�l'.. <br /> STORIES: i J SQ. FEET OF EACH FLOOR: r"��% = ��='-`�� ���✓cs�(��'J� G���' <br /> NO. OF BEDROOMS: � G�GE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ i�.'='�"^'-'�' <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 /> � <br /> t - <br /> � '�.� ` `r^ /� �/�� ,r---+� i � <br /> �APPLI CANT S S I GNATIIRE: �f✓ ✓Ml✓i 1 DATE: 2- 2�'- �� <br /> F' <br />