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CITY OF ORONO - BIII���I�7G PER�'�1IT APPLICATION <br /> Total Fee: $ ��-�` .� <br /> , Date Received: <br /> Date Approved: <br /> Entered By: _ u: ���� <br /> Permit tt <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFOR.E PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-aff List Enclosed) <br /> ------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRBSS: a I 1 � C0.S CO�t� /�� ���H U ZIP' `�`�`3�� <br /> (work) ,S�� ' ��OD <br /> NAM}; OF OWNER- lM t��ci e�1 � � L5�1✓f��2� PHONE: (home) �7�"' !s.�� <br /> MAILING ADDRESS: p�� � �. C�tSCp �7� � �Gr� CI�= �Q�''�4.� ZIP: �.�,,3q � <br /> CONTRI�CTOR: � r�.���c.� ,i��e.� !2o a�;'�s- pHor�: �f�� ` �/-3/-3 <br /> iKAII�ING �DxEss: 1 cY� 7,�Ov�a✓c� �• cI�: C_�1��' � Z1P: SS3..?,..z <br /> �7 <br /> STATE LICENSE: � <br /> ARCHI TECT/ENGINEER: �/r4 PHONE: <br /> MAILING ADDRESS: CITY= ZIP' <br /> p�E� REGISTRATION ,ur <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED W�RR (describe in detail) : �ctYOt'�?' � �'e �r�� <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: "' �'��� <br /> NO. OF BEDROOMS:� GARAGE STALZ�S: ATT. oZ DET. <br /> ESTIMATED CONSTROCTION VALIIATION (egcluding land) : $ <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 accordance with the approved plan. � <br /> AP <br /> PLICANT'S SIGNATDRE: DATE: �/I � <br />