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� CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> n � / Date Received: <br /> Totai Fee: $ �/l�l�� �J <br /> Date Approved: <br /> Entered By: � Permit�: ,��V� <br /> �I� INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTOR� <br /> �- - ------_./ <br /> JOB SITE ADDRSSS: � �j�� CC�'S�O ���� ZIP: <br /> (work) �'� �lS"�, <br /> � PHONE: (home) �f 7��7 �� <br /> N� OF OWNER: L.-u U��P QJ lG(G� <br /> MAILING ADDRESS: ,Sq,�p CITY: ZIP: <br /> � <br /> CONZ'R�CTOR: � �C �OuS7�`�/��`d'�i �-.-0 . PHONE: �f ?�! drZ0..3 <br /> MAIZING ADDRESS: � D TY: s�. ZIP: .S�S 3 S� <br /> STATE LICENSE: �_���.2� <br /> ARCHITECT/ENGINEER: � PHONE: <br /> MAIZING ADDRBSS: CITY: ZIP: <br /> NAI�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : CO�,7� L.Y��'w� /�d»s�c i K 7�-� <br /> �.Qld� �7�'�G S �tJ/�u �� �b At s..� 4d t e. i!.. �.�'3��fc( J� <br /> GL.����t.� G'O�l�t�Ofi TD� ._ <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAG$ STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ��(�r�i <br /> I hereby apply for a building permit a�d 2 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 wor�}c is not to start without a permit; and <br /> that the wvrk will be in acco ce with, approved plan. . <br /> % � <br /> APPLICANT'S SIGNATORE: DATE: � <br /> I <br />