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� ' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> �� ��• �� � Date Received: /`a� �� �� <br /> Date Approved: <br /> Entered By: <br /> Permittt: C � <br /> AI,L INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) �6dNER or CONTRACTOR <br /> � <br /> JOB SITE ADDRBSS: � �I C;(_% �,�`.j�'��� I�i � h�. ZIP: ��'���.��1 � <br /> (work) `�:3� �%_�`i� <br /> NAI� OF OWNER- 1�/a ti �` l I/L i!�� ��t� `i� ,� �y PHONE: (home) �`7/ - �� .3 Z� <br /> MAILING ADDRESS: � �J�C� ( ���'p �I R �> _ CITY:� ;��'�it�C ZIP: -`"� �<��ll <br /> CONTRACTOR: /Yi � /�t � ��t����Gti PHONE: �-I�j�I-��3�' <br /> MAILING ADDRESS: �f�y(G:> G`. I�c��l. � (�l� l l�lt �� CITY: �'��� �f��1�1� ZIP: `J_���� <br /> STATE LICENSE: � <br /> _ � � s . <br /> ARCHITECT/ENGINEER: /�i r�� f�l� I.> /; 1�`-`:l 1� ��1�1 PHONE: E_ �I� - '%�I� �, - <br /> MAII,ING ADDRESS: CITY: �C�7��"�tC'c�7 f-f ZIP: <br /> NAME: ���TZl�'/"�/�� r�E�`� l l� (i>>�. REGISTRATION # 7Z_� �'� <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> --� . _ <br /> PROPOSED WORK (describe in detail) : ` , L:� � �' �,) i/ZC , %. ' • 2 ft ' ' � � <br /> _ � ,J �. <br /> C t: �: % <br /> , <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGE STALI,S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) : $ �, ��(�(.,� <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 the approved plan. <br /> � ? DATE: � -Z� -� 7 <br /> APPLICANT'S SIf�NATQRE: C�_ i <' !I�; / l(�r�;t� � � <br /> � <br />