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� � � CITY OF ORONO - BUILDING PERM.IT APPLICATION <br /> Total Fee: $ ;��» .r�� Y Date Received: � v� � -Cj3 <br /> _ Date Approved: <br /> Entered By: ' C� <br /> , Permit�: �_�G � <br /> AT•T• INFORMATION MIIST BE SIIBMITTBD IN FDI,L BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------- --- ----------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: 7(O(� �O. ���ui'� �� ZIP: �jT,3 cf � <br /> ��Cy�C1, ��i�'L�'V (work) ���.�yy <br /> NAME OF OWNER: -�/l,�/r�A � '1-� S/�-���A- �2 ou✓/�� PHONE: (home) y?3 -��S � <br /> �zixc ��x�ss: �7��� S`o . Y�2�c.z,-.� %'�� _ cz�:��a�Ti'-� 1'I�.v zzp: �S�3�/ <br /> CONTRACTOR: -/',,.�v��� �C,�n�.m,�r r�.-�i i+J Paorr$: �/J,�.�- �-S��� <br /> r�r.zxc �nx�ss:�'"`��,�t' � ���c:�t,u���T� �.2 , ci�: �vun�� zzP: �.5��� `l <br /> STATS LICENSE: $ <br /> ARCHITECT/ENGINEER: �C.�� � PHONE: <br /> MAII,ING ADDP,.$SS: CITY: -�-�t�-/�f;{---_ ZIP: <br /> I,7�: RBGISTRATION � <br /> TYPE OF WOR.R: New � Addition � Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �,/VC/OS� �~� J �aI2�/ ��'-G�C � ��t <br /> / __..� _-,�_�.-. <br /> i� n ...I-9�-�-�_ zz--__�--�— � ., <br /> ��r i r o � .ici_•y <br /> STORISS: SQ. FEBT OF EACH FI,OOR: <br /> NO. OF BSDROOMS: G�GE STALLS: ATT. DET. <br /> ¢' x G,— <br /> _ �/4 <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ -�=-��'�'� �' G G <br /> : hereby apply for a building permit and I acknowledge that the information <br /> �bove is coinplete 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 /> °snderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work wiI 1 be in accordance with the approved plan. <br /> :�PPLIC�NT'S SIGNATURE:� �/�' /� � � ` <br /> ''".�G ,�'�- �.�������K�,n DATE: <br />