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S <br /> � • . <br /> � ' CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: � permit�: - <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL BS STARZ*ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> Z'HE APPZICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ��� �"��� ��6►.��� (�? I�� ZIP: <br /> (work) <br /> ��uN PHONE: (home) � � g 3 <br /> N�ME OF O WNER: UC7 L'��- �"" i�U rl"i�E�L�'" �� <br /> I�SAILING ADDRESS: � �L"�� l�sr�'�', �,���'st.:�,� � !„i CITY: v(�-0NO ZIP: <br /> CONTRACTOR: �C�� E,.t.� �4��.�Q� � I IvG PHONS: `��- %'° ��"�� �', <br /> MAII,ING ADDRESS: Z?� ��(.s�j7t?r„�L3 QUC3 CITY: �7'7��Ovf S �d�t� ZIP: � �a¢ �i�v <br /> STATS LICENSE: � �DG� S���i � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : f�-�Q � �t��lut-� /�li'`f �/�..+r��r.1 �Q <br /> r�t N�,�l� �e;��� E � ��c.�c. v� �� Oo��.. °� G f N �r��, <br /> STORI$S: SQ. FEBT OF EACH FI�OOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRQCTION VALIIATION (eacluding land) : $ �U, [�Qv � <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 acc rdance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATORE: } <.A: ��....�..--. DATE: (} C^• <br /> �. <br />