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CITY OF ORONO - BUILDING PERMIT A.PPLICATION <br /> Total Fee: $ ,� � r�� Date Received: <br /> � Date Approved: <br /> , <br /> Entered By: � � i�� permit 7: ��� 'f <br /> AL_L INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WII,L BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------- <br /> ------------------------�----- <br /> TgE APPLICANT IS: (circle one) OLdNER o CONTRACTO <br /> JOB SITE ADDR.$SS: �� O'� I C1L�C� l��-__ ZIP: <br /> (work) <br /> NAME OF OWNER: �,� � �' �Y PHONE: (home) <br /> MATLING ADDRESS: ��� 1 ���L� � CITY: ;�(A-�ZCh�� ZIP: <br /> � � PHONE: �t � -\ � � C"1 � �'� <br /> CONTRACTOR: ��.x.����� �--x � ` <br /> MAILING ADDRESS_ C�yC�� t�`G � 2 CITY:��(S�(���-PIZC,'��"� ZIP: �'� �S � <br /> STATE LICENSE: # -I� � ! <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CSTY: ZIP: <br /> N��_ REGISTRATION tt <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : r-- <br /> �' ( t tn �l�-� <br /> c;�-� cE.d�� ' I �� {�-� c� �e� C� eu�� =�Pp�t � ���� <br /> STORIES: SQ. FEET OF EACH FLdOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) s $ � r C� � � <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 I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with t/he approved plan. � <br /> �'�✓�� DATE: ���j�-�7_� <br /> APPLIC.ANT'S SIGNATURE: <br />