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J <br /> CITY OF ORONO - BUILD�NG P�RMIT APPLICATION <br /> Total Fee• $ � ' � � � � Date Received: /�1���'�3 <br /> . � <br /> Date Approved: <br /> Entered By: ^ <br /> Permit#: ��'�'`� <br /> ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI, B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: j 7�� ���ir�5 �! i�� f l�, 1 ZIP: <br /> (� rC �� L� <br /> (work) <br /> NAME OF OWNER: R �>b � w f C_'-' [,�J c- l� 5 PHONE: (home) <br /> MAILING ADDR.ESS: / �c� �+ !� � liflc� �_��� f��r� CITY: c^ rc .� 2 ZIP: <br /> CONTRACTOR: �� ���" 5� � � S C�y, i : ��i' PHONE: l�/J�� _3 ��c' ��' <br /> MAILING ADDRESS: �-�, r t� . .� '� _ CITY: ����/<, i,` ZIP: �$,3� �-' <br /> STATE I,ICENSE: � (� DO / ,� � � <br /> ARCHITECT/ENGINEER: �� r',� � ��Gt 1� : •� �c c` ►'' PHONE: ���� - �3 �� >'��' <br /> MAILING ADDRESS: �, i��>(�; �.�-� (�G, ��i�� n �ku�FITY: �) /)�., ZIP: .j���/l. <br /> J <br /> N�g: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration .� <br /> PROPOSED WORR (describe in detail) : �( �� �i �� � f� � t 5�i h 4 � cr. ✓`� y �` <br /> j .� c> .s -t: <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATION (ezcluding land) : $ ;�::,� / �`l' • � � <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 /> APPLICANT'S SIGNATIIRE:�� �'�_ ,t �=���� �� DATE: G- , - ��l �_ <br /> � <br /> � � /^ I �thCr � � �� 1�� � <br />