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CITY OF ORONO - BIIIZDING PERl�LZT APPLICATION � <br /> �al Fee: $ � Date Received: <br /> —, <br /> , � Date Approved: <br /> Entered By: � <br /> Permit�: <br /> ALI� INFORMATION MDST B$ SIIBMIT'�BD IN FIILZ� BEFORE PLAN REVIEW WII,L BB STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------ <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � � <br /> JaB SITE ADDRBSS: �"' � � /�� f����?-�� ZIP: � � l���/ <br /> / <br /> (work) <br /> i`� 1 PHONE: (home) </�/i'- �:����� <br /> NAME OF OWNER: �' L�� a � 9 � ,- �,ry�, � ��l r.^ r�r) - <br /> � � /�, -,/„ /.-.� CITY: (�frJL ' _?� ZIP: �'.5',i �'/� <br /> MAILING ADDRESS: %S'���___r__�,� j� � <br /> CONTRACTOR: ���e,ch�/r C� on.i�I�a,�M:� t� PHONE:� ,�-�� -.��"D � <br /> :�i�ILING ADDRESS: '' '�� /� .r CIZ'Y: ZIP: ,�f-'S�/��_ <br /> '!7�'i/� /f �e � � <br /> ,'�TATS LIGENSE: � � 'j''S7 ��i C c l`�<�t/� <br /> � �5'c„ . ��.�C; <br /> r�RCHITECT/ENGINEER: PHONE: <br /> ;�..A.II,ING ADDRESS: CITY: _ ZIP: <br /> ��: RRGISTRATION tt <br /> TYPE OF WORR: New Addition�_ Accessory Structure Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> ':'ROPOSF.D WORK (describe in detail) :_��� � ���T� /�e'��r�� �� ��� �� <br /> ;�TORISS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STALI�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) = $ �T��'� � <br /> � hereby appl.y for a building permit and I acknowledge that the information <br /> �bove 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 /> ;nderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work wiI.l be in accordance with the approved plan. � <br /> �PPLICANT'S SIGNATDRE: ,, ' ` DATE: �„7/ 9 y <br />