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CITY OF ORONO - �UILDING PERASIT APPLICATION <br /> ! C <br /> Total Fee• $ `j,C�C'�•�v " ) ' �' Date Received: <br /> � ,_ (> Date Approved: <br /> , <br /> � Entered By: � �> d( UG� � r� <br /> r Permit n: _ � / / <br /> AT•T• INFOF2MATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------- � <br /> THE APPLICANT IS: ( circle one) Oti�7NER or CONTR�C R <br /> , � <br /> � JOB SITE ADDR$SS: � ����i �crS ��� � ��� ��1'� Ir\C ZIP: S.S -� / I <br /> (work) <br /> ,, � � �e ;.� �; PHONE: (home) � �� <br /> NAME OF OWNER: <br /> MAILING ADDRESS: �� O ��=� C�G' , �� CITY- �.' �G� v?U Z IP: S S 3 c/� <br /> � , ��,I f - <br /> CONTRACTOR: � (%�'�� YZ ��' PHONE: - l �� � -,� �/�� .� <br /> MAII�ING ADDRESS: y� � � /�� ��li►� uSS �y�, CITY: Vlf1� " ZIP: -�--5 � � <br /> STATE LICENSE: � �S � �� <br /> ARCHITECT/ENGINEER: P$��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�ME: REGISTRATION T <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> _� n � <br /> `���G r G� ��'� Z ��L, �l C! �' ,�-- <br /> PROPOSED WORR (describe in detail) : �SG� 5�'f, -S��nU��.s 'L ars fa�� ,L r'f a ��`'`s�-s�F'�� <br /> � � <br /> � 1 � � _ - � ` G1 �� <br /> u F�v r � ��s �+ � � � j � L`"� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAZ�LS: ATT. DET. <br /> � �lz" �C�-H' <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ 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 the City and with the State Building Code; that I <br /> understand this is no a ermit and work is not to start without a permit; and <br /> that the work will be 'in ccordance with th `�ap oved plan. � <br /> �. <br /> -� _�� _�� <br /> A.PPLICANT'S SIGNATQI2L: �� � DATE:� <br />