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CITY OF ORONO — BUILn1NG �ERMIT A.PPLICATION <br /> i <br /> Total Fee• $ �l C�� S ' `1�-� Date Received: // ��-�� <br /> � Date Approved: <br /> Entered By:_�> ' / <br /> Permit�: � ��`� <br /> ALZ INFORMATION MIIST BE SDBMITT� IN FDLL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circie one) OWNER or CONTRACTOR <br /> ' '`I �"._� - ,g''.., „ � j %° �f�(�,-�`� ZIP: <br /> JOB SITE ADDRSSS� � <br /> (work) <br /> NAME OF OWNER: F � � v �;�=c �f '��'` •C PHONE: (home)�Sr ;'_ �', � �`�- <br /> MATLING ADDRESS: I� 4 � �'I r:�. ' '. CITY:�i-+ tiGY�:-'i`-`a ' ".- ZIP: � .. �; -�' � <br /> / ; <br /> CONTRAC'1'OR: � � J �J �'�°'^ �.�+=j�� �- PHONS: <br /> �iAILING ADDR$SS: ^"' :��v �/, '' et., ' 'r�:� CIZ'Y:��i /��> (cyY"..-'' . . ZIP: �i� .:�� �� <br /> STATS LICENSE: � <br /> ARCHITECT/ENGIN�: � . PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> g�� R.BGISTRATION ,ar <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate ,� Land Alteration <br /> f ! <br /> ;_ .,.._ <br /> PROPOSF.D WOR.R (describe in detail) : - ( . � :'.�'F <br /> STORI$S: SQ. FEET OF EACH FI,OOR: <br /> NO. OF BSDROOMS:_� GARAGE STAIaLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ��,+���` � <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 wil 1 be in accordance with the approved plan. , <br /> ; � � fi �� �'` � . , <br /> APPLICANT'S SIGNATIIRE s `� ,' � �- ,-r`,.�' .*�`._ ... • DATE:��— ,'',� -� '�.✓ <br /> r <br />