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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> ,fS , i � ` ' Date Received: <br /> Total Fee: $ <br /> Date Aoproved : <br /> Entered By: =��.2�U �k�� � <br /> Permit n: <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> �__���____�.�..�-�_._�_�� <br /> _�___�_���___ ,/-G' <br /> �___�________����__����� ,.. � <br /> TgE APPLICANT I5: ( circle one ) �S1NE or CONTRACTOR <br /> � / p �5 �� �" 1C'I�, zzP: -Sls �s ; <br /> JOB SITE ADDRBSS: ��� ln� � <br /> (wo rk) ��� �� �' �� <br /> 4 � 1 L�d�r L Co i i��� 1����� PsoNE: (home) �7� ���7�I �r <br /> N� OF OWNER: I - <br /> MATZ,ING ADDR.ESS: j� (r� O �� 7.S/�� �' CITY: �YJd�Y�� �L�¢/j'U ZIP: -5.5��_� `? <br /> PHONE: .. <br /> CONTRACTOR: <br /> MAILING ADDR.ESS: <br /> CITY: ZIP:— <br /> STATE LICENSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: _ <br /> N�ME. REGISTRATION n <br /> TYPE OF WORK: L7ew Addition Accessory Structure <br /> Nlove <br /> Demo Remodel/Alteration Renovate Land Al.teration <br /> PROPOSED WORR (describe in detail) : Itfl��S � ��-�- ✓���'��� 5���/�Cr3 —! � <br /> STORIES: � �Y SQ. FEET OF EACH FLOOR= � � ��� �' <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DEm. <br /> ry� �J �v�� <br /> ESTIMATED CONSZ'RIICTION VALIIATION (excluding land) : $��`"o U � ------- <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 W1thathI <br /> ordinances and codes of the City and with the State Building Coermit; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approve3 plan. <br /> /)��� ��X� ` � �/,�iv" 'G-'tC+Q'!�' DATE: <br /> APPLICANT'S SIGNa�: l:� ' <br />