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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> s � <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit R: <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILI, BEFORE PLAN REVIEW WIIS, B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------- <br /> ---------------------------- <br /> --------- �-�--�---- <br /> THE APpLICANT IS: (circle one) Oj�7NER o C�ONT__RACTOR <br /> � (:��C:� � �-,�1 5 C f"' �%�. /�L� z I P: ��'���c� J <br /> JOB SITE ADDRRSS: �-' <br /> (work) <br /> L-F't� � L C1 �/ / 7� ' PHONE: (home) 7 7/ - 7 �7S <br /> NAML OF OWNER: ...> C � � � <br /> MATLING ADDRESS: 2C��� L�S'CO �f , CITY: W�Z��,� ZIP: 5�� --� �7 ) <br /> CONTRACTOR: ��,j � S�� � �" �-� �-=�r�S� PaorrE: � 7�- �S`3� <br /> CC' � � / �/ Z IP: S S _i �-- / <br /> MAILING ADDRESS: J 1 7S �-i ivG��J,D ��✓�CITY: �'n.L ��--T- <br /> STATE LICENSE: # ��"-� �'�� <br /> ARCH2TECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alterationi�,� Renovate Land Alteration <br /> 7 -.1� <br /> v-� (> .-� �-�-,�_ - J. <br /> PROPOSED WORR (describe in detail) : `�'/�^- <br /> l � <br /> - �.c,�'L �� ���f— <br /> STORIES: SQ. FEET OF EACH FLO�R: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> _�,-� <br /> ESTIMATED CONSZ'RIICTION VALIIATION (ezcluding landl : $ � <br /> 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 wil 1 be �in accord�e with the approved plan. <br /> ,� <br /> C �� <br /> � ATIIRE z ��.��� _ DATE: �� � <br /> APPLICANT S SZGN <br />