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` � _ , <br /> CITY OF ORONO - BQILDING PERM.IT A.PPLICATION <br /> Total. Fee: $ ��p, `l`=� Date Received: ���3 1 S'.Z <br /> Date Approved: <br /> Entered By: ' ,�-j�� <br /> ' Permit�: �,� `j ,�' <br /> A7•T• ZNFORMATION MIIST B$ SIIBMITTSD IN FDLL BEFORE P?�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ��������_�������������������������������� ��1���� �������������������������� <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTO <br /> JOB SITE ADDRBSS: � �(� -; c •` �"�C` I`' V� ZIP: <br /> (work) <br /> NAME OF OWNER: PHONE: (hoine) <br /> IKAILING ADDRESS: CITY: ZIP: <br /> , <br /> CONTRACTOR: S � �� ��C> . �l.'�'zt PHONS: �! �_�'' ���` <br /> MAILING ADDR.ESS: ��(�� JU�.,�� �K� D CITY: ���Z. � ' ' ZIP: ��_�� <br /> STATS LICENSE: � �(� j �t��_ <br /> ARCHI TECT/ENGINEER: S�^�-� "" ��i.�i � "�e_ E"�1��'��`'1 PH�NE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> �PE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �J �{� J�� �c�iu��: � '�-� `�t: ' <br /> r <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> �70. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �.� � <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding land) : $ �-� C�}C1 <br /> r <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 wiI 1 be in accordance with approved plan. ' . <br /> � <br /> APPLICANT'S SIGNATDRE: ,� �� DATE: �'`,�j���_ <br /> � <br /> � <br />