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., � � � CITY OF ORONO - BUILDING PERMIT A.PPLICATION <br /> � <br /> Total Fee: $�f'3, �C� Date Received: � "� � ' % j <br /> Date Approved: <br /> Entered By: �,G,�/ <br /> Permit�: '�l'j�'/ <br /> AT•T• INFORMATION MIIST B$ SDBMITTSD IN FIILL BEFORE PLAN REVIEW WII,L BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------=------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> • / '''l :i f__ ro�.� 1 r � ' � � - �'r l.r- � � - -- � <br /> _ ' --" .= ` <br /> JOB SITE ADDRSSS: r; �!_ _ , . ` r. 1 .���� = - ZIP: �. �.-, � „ <br /> , <br /> (work) " <br /> N�ME OF OWNER: ��,� : ��-� r PHONE: (h ome) -- ;.- _� . � �� <br /> � . . <br /> MAII,ING ADDRESS: � , ' ' ' CITY: /, � ; .,� ���y, ZIP: <br /> : ,. <br /> CONZ'R�CTOR: '(\ � ��"� PHONS: - - �`� <br /> � , . , , . <br /> , j_ • ;, . , ,f., ��i : . -�r' -+ J� <br /> i�SAII,ING ADDRBSS: (/:i � CITY: /J%1�`'�y �i f /�1;!; • ZIP: ,_' <br /> y� „ , . . <br /> STATS LICENSE: � � <br /> ARCHITECT/ENGINEER: PH��: _ <br /> MP,.ILING ADDRBSS: CITY: � ZIP: <br /> NAME: R.BGISTRATION A <br /> TYPE OF WORK: New Addition�_ Accessory Structure Move <br /> Demo Resnodel/Alteration;;: Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : - _� <br /> / �". . . ��: . - f, <br /> r , . <br /> , , , , <br /> C'- . '�.` ,� , f, . 1 ; _!. '� ' . , <br /> �' • <br /> v�TORIES: SQ. FEBT OF EACH FI�OOR: ` ° <br /> NO. OF B$DROOMS: � GARAGS ST�I�S: ATT. DET. <br /> . s ,, � <br /> 0 , <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � % � <br /> I hereby apply for a building permit and I acknowl.edge 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 /> �hat the work will be in accordance with the approved plan. • <br /> ,_.-.�-.._,: 1 <br /> �� ,r �/ _% <br /> �APPLICANT'S SIGNATURE: /�'>�'`�'�'�4��( / r{� �/��''� DATE: 7 �C � �� <br />