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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee• $ .� �� ' � Date Received:f (� " � � �`� <br /> Date Approved: <br /> . Entered By: � ���� y� � <br /> Permit#: � <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FDLL BEFORE PI,AN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ------------ <br /> ------------------------------- ---------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNER o CONTRACTOR ; <br /> .�---------- <br /> JOB SITE ADDRSSS: � / �� �� a ���� ZIP: <br /> (work) -� 3t� -Sss�? <br /> NAML OF OWNER: ,�i��%�� <%�1�L��/� 5 PHONE: (home) `'�76 �� �3E,� <br /> I�iAILING ADDRESS: � lG' y S�r���r° �c+c,vS CITY: G>/�G�.�✓�) ZIP: <br /> C ONZ'RACTOR: �/�l CG'J` C C�•✓.S`r�{u c 7�c�J `� /'� /n O��-d�N C� PHONE: / �.�-- �` �S-� <br /> Z�SAILING ADDRESS: %.��'�/ /v��,v�iJc-�fl�°iS/� ./�vc�- t^' CITY: S�T _ %��i K'L ZIP: .��5'/O� <br /> STATS LICENSE: � C%(`}� y� �S� <br /> ARCHITECT/ENGINEER: N� PHONE: <br /> MATLING ADDR.$SS: CITY: ZIP: <br /> N�: R.BGISTRATION tt <br /> TYPE OF WORR: N , Addition Accessory Strncture Move <br /> Demo Remodel Alteration�- Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : F�ti"�fH CO"=F ���sc='�'G�"; �n� �'x'�r.'"'�� i��`�C <br /> �/YI,�I�t:v'!� r1 ,�m��� y a;'Cn'1 � %� i✓ —r�f-�li�'T l/� ii7JG /'� CC.+� <br /> STORI$S: SQ. FEBT OF EACS FLOOR: <br /> NO. OF B$DROOMS: GARAGE STAL.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ a�� ��U�:c�t- <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 2 <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 the approved plan. • <br /> APPLICANT'S SIGNA T� '� �,�t.:s DATE: I�/S�4y <br /> �� <br />