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� <br /> ' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ �' '� '] 5 Date Received: <br /> Date Approved: <br /> Entered By:�,/�/� pe�mittt: �,I� `� <br /> AT•T• INgpRMATION MDST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEGd WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------- <br /> -----_------------- <br /> THE APPLICANT IS: ( circle one) O��TNER1or CONTRACTOR <br /> � � c � <br /> JOB SITE ADDRSSS: �r � G�:� C�� �C�Q� ZIP: � � 3 � <br /> (work) �1�� - 3��'�� <br /> NAME OF OWNER: ����}'�'l �.i� �,"�`�-� `� �S'�� _ PHONE: (home) '�1� I- 7�3 I <br /> r�zzrr� ��x�ss: �3i v��a ���� Qc��i �o��� cz�: C�rov� u zzP: 553� 1 <br /> ir�a �-�,—,�-----,�;,,,,in pHo�: � <br /> CONTRl-�CTOR:ur��>���y�+%�vi�� <br /> MAILING ADDRESS: - CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAML: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate �� Land Alteration <br /> PROPOSED WORR (describe in detail) : �\� �l�rYl 1 U i ����� � � �l�Yt.� C>� _ . <br /> � �/�•1 <br /> �� -' V� ti� � V�C Y�(��i <br /> STORIES: SQ. FEET OF EACH ��R= - <br /> NO. OF BEDROOMS: G�GE STA.LLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �� U�� <br /> I hereby apply for a building permit and I acknowledge that the informatior. <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 � <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 SIGNATQRE���I.I,C�Ce. . 1'1A-�� <br /> DA�: � —I I—� � <br />