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� CITY OF ORONO - BUILDILIG PER�tiiIT APPLIC�TION <br /> Total Fee: $ <br /> t�/' � E, Date Received: ��=�� � y � <br /> Date Agpro�ed : <br /> Entered By: �_-�.' u. �- <br /> - Permit,�. ��_�-��� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFOR.E P7�AN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOBr' <br /> , ._ -. ; \ � � � f <br /> � <br /> JOB SITE ADDRSSS: ,' '=� � �` ���` ' �%'r�� /�! ZIP: �S�j� <br /> (work) <br /> ' ^ ; PHONE: (home) • '/�f <br /> NAME OF OWNER: ` >� �-, ,/�', �`j �,� % ,"'�,. <br /> =� ���' .` �C, CITY: �%/1:��! ZIP: _: .=_�;';/ <br /> MAIZING ADDRESS:-�_�J� � t��/.����C �e«� � ,• <br /> � <br /> CONTRl�CTOR:� '°�i��:�!��.� -���-�%lz'�J/_c�--f (_ �' PHONE:�,�G� ����%� - <br /> MAILING ADDRESS:� .�' �"' ' CITY:/,�f,,�'t ,�H'�%�-' c ZIP - _�!� <br /> t��"-�� % �/�r<':l% f' �—.T <br /> STATE LICENSE: � �---- <br /> ARCHITECT/ENGINEER: PH��' <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> pA�: REGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Niove <br /> Demo Remodel./Alteration Renovate Land Alteration <br /> -----, ,-- <br /> 7 }_,�-� . /,, '3 i <br /> PROPOSED WORR (describe in detail) : /� "/c l�� /�"'�'�� � �'���� <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAZ.I.S: ATT. DET. <br /> ✓ . <br /> / z ;.. . <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ " „���C '�-�• J <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 wi.11 be in accordance with the approved plan. � <br /> _ �'�;� � �' �-- <br /> APPLICANT'S SIGNATURE: '. �- ' •� ' DATE: J' - =i'% - /. <br />