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' � � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �/, � `7 Date Received: <br /> Date Approved: <br /> Fntered By: ,('� Permit n: �� �/J,�� <br /> ALI, INFORMATION MIIST BE SIIBMITTED IN FIILL BEFOR.E PI,AN REVIEW WILI� BB STARTED <br /> ( See Check-aff List Enclosed) <br /> ---------------------------------------------------- <br /> THE APPI�ICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: t� �: �` '{ �c:� � � ,"_`� . t�� {_ ZIP: `> `� ;`� L.. <br /> (work) �{7 2. -- 7 i` 4 <br /> � � <br /> NAI� OF OWNER• �"'l � ` � �� ,.J L- �,��; F�.�_^_ PH�NE: (home) , �_�t;- ��� �1 �� <br /> MATLING ADDRESS: �� �-� :: �. � CITY: ZIP: <br /> CONTRACTOR: �..--� ---= r'�- --1�� PHON$: <br /> �iAILING ADDRESS: `�� •�.. - � CIZ'Y: ZIP: <br /> STATS I,ICENSE: 7 <br /> ARCHITECT/ENGINEER: : y-� �= _� �- ' PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N�: RBGIS�`RATION � <br /> TYPE OF WORK: r��----..� Addition Accessory Struciure Move <br /> Demo .oael/A�.teration �(— Renovate Land Aiteration <br /> _---.'` <br /> PROPOSED woxx (aescribe in aetail) : �\ � �\ "t �� -( � . - � 4� � - <br /> � � �, <br /> � x , � � � . k � �� � j l.� �- .� �- � <br /> S <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> NO. OF BEDROOMS= GARAGE STAI,.LS: ATT. DET. <br /> � � �� F:�c _: <br /> F.STIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <br /> I hereby apoly for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work wil.l 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 wiil be in accordance wit t,he approved plan. • <br /> � <br /> �'� ' � < ��: �% <br /> A.PPLICANT'S SIGNATORE: � T �--- ' DATE: � 1 / � � <br /> �',- <br />