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, � • CITY OF ORONO - BUILDING PER�SIT APPLICATION <br /> (i <br /> Total Fee: $ �J �1 � � � C, Date Received: <br /> Date Approved: <br /> Entered By: .'LL` - <br /> Permit#: "% `�w ,' <br /> ALI� INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI� BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) � _OL�INER n-� CONTRACTOR <br /> JOB SITE ADDRESS: ��� )� 1,���✓ � ;»� ���ii-/ /�'c,,�.._1 ZIP: -;-� �->`t� <br /> (work) ��7/ `7>�� <br /> NAME OF OWNER: /i%.���'/� ��-i-/ <_./ PHONE: (home) �7/ %���' <br /> MAILING ADDRESS: _��i� l/' _S i.sr� .✓.5s�� �'o�d CITY:,I-[=�- ��i� ZIP: 1;�-_jl� <br /> CONTRACTOR: /`�/�/%l' -r .1�; /�✓ %i '�: /=-j`�/ PHONE: �/i/ %>��. <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ��/��- L��-s�e_ .�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: �_ i�c < jl f�ili 5/_= ��✓� REGI STRATION # <br /> TYPE OF WORR: New Addition ✓ Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> ,;,,, ,�----- <br /> PROPOSED WORR (describe in detail) : �;�- ���"�' /�!�.� f0 ,���''� �'`- <br /> �� <br /> � <br /> � <br /> ���y�-�J rJ�: <br /> STORIES: > SQ. FEET OF EACH FLOOR: ,S rf 7' :S.r t T <br /> NO. OF BEDROOMS: > GARAGE STALI,S: ATT. DET. I <br /> � <br /> ESTIMATED CONSTRDCTION VALIIATION (ezcluding land) : $ ��� r_-;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 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 /> � �`y� �?� -�`� -c_ DATE: � 1 /,_� <br /> APPLICANT S SIGNATURE: �%,/l . 1 � / <br /> . <br />