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i �� . � <br /> CITY OF ORONO - BUIZDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: % <br /> Permit�:� <br /> ALI, INFORMATION MDST B$ SIIBMITTSD IN FULL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: �i�'� ��k-��� ��-� �- ZIP: �> ��j� <br /> (work) q�l� -`12,3� <br /> NAME OF OWNER: ���1L' l�� n r-- � ������� � wc. PHONE: (home) y 1(c l�y� <br /> MATLING ADDR.ESS: ��J� ��'��L���� b� �-'`� CITY: �rc., r� c� ZIP: S S 3 S �: <br /> CONTRACTOR: �;� '��� PHONE: t-1`'=� =�" � <br /> M.AILING ADDRESS: --- CITY: � ZIP: : <br /> STATS LICENSE: ,�r <br /> ARCHITECT�ENGINEER: ����� � �r�-��_� � i� � ,. '���-- PHONE: <br /> MATLING ADDRESS: CITY: ZIP: <br /> N�g: RSGISTRATION tt <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration�_ <br /> PROPOSF.D WORR (describe in detail) : � �� d�" � � � -'�' `�"� c�'-`-= �' '_ �\ <br /> \;�L�-� �l c� � "� c.X \5'� , -� � �.ti c� ��. <br /> STORIBS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGB ST1�I.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ <br /> _T 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 e approved plan. <br /> APPI,ICANT'S SIGNATORE: � � ' __. .-L,�L DATE: (��" �`�` /S� <br /> ✓ <br />