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*� CITY OF ORONO - BUILDING PER'KIT APPLICATION <br /> Total Fee: $ �^`j �O Date Received: <br /> Date Approved: <br /> Ente�ed By: .�'� - ��zi <br /> Permit tt: <br /> ALL INFORMATION MIIST BE SUBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------- <br /> ------ -- -------------------------f/--�-------- <br /> THE APPZICANT IS: (circle one) OWNER r CONTRACTOR <br /> �7 _ , <br /> �., ,. . �- �a �_,t� �. < :S _,� -�,:_.�� <br /> JOB SITE ADDRESS: � "� '!�'� � ���u �4 J�� ��/�� � �_�`'l:� - ZIP: •-� ._.�._ . <br /> � ,, , - (work) - <br /> �' I . � / _. r � _ ,� <br /> ,''� � - � ' � �.�_.��,� PHONE: (home h ���--''� ��f ''..,�°�� <br /> N� OF OWNER:� �- e�+t.� L '�,�L-�Ec <br /> MAILING ADDRESS• '''' ', � �` - _ CITY: ! ��'` �-�,•�f�_ ZIP: ,�.`���' T';-�l <br /> � ,a�._;.: ,� � ��• <br /> CONTRACTOR: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � ��l//// <br /> ARCHITECT/ENGINEER: pH��' <br /> MAIZING ADDRESS: CITY: ZIP: <br /> N��� REGISTR�TION ,ur <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> � <br /> � :��/' � <br /> /% i t ;`a, t 07/..�:; � �C��� - . <br /> PROPOSED WORR (describe in detail) : C l � ��•-•���-' � ��--�,— <br /> r ;� - <br /> / , / <br /> / ���� �f �'i��/. <br /> STORIES: / ?/` SQ. FEST OF EACH FLOOR: r � �C�" ��u����C�73-�- `� JQ �''�� <br /> NO. OF BEDROOMS: ..� C�RAGE STALI�S: ATT. DET.'� � <br /> :� r'T 1 <br /> �, �r� � �� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $��.., <br /> I hereby appiy 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 wit,� the State Bui lding Code; that I <br /> understand this is not a .permit and work i not to start without a permit; and <br /> that the work will be in accordance with th approved plan. � <br /> � , � ` _ � <br /> � ` %; � ��- � ._� a � <br /> APPLICI��NT'S SIGNATIIR,� , � � DATE: <br />