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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> ��` � " � f . Date Received:^/�)fic,/;�- <br /> TotGl Fee: $ � <br /> Date Approved: ' ;' �i�� <br /> , <br /> Entered By: � '�� �', , � <br /> Permit�: <br /> A7•T• INFORMATION MIIST Bg SIIBMITTSD IN FULL BEFORE PI�N REVIEW WII'I' B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> ,�j/� >�''i <br /> JOB SITE ADDRRSS: �r� / (J a�✓ ':;� '';� 1 r;�'?�, � ZIP: <br /> (work) <br /> i�IAME OF OWNER: Y� 1 � c/` 1 CC_. � �� � � � PHONE: (home) 2�0 <br /> � / L,. � CITY: ZIP: <br /> MA2LING ADDR.ESS: �"�` /,���/./dl�G�1'l�'���� <br /> � /'�'r`�j'� .�' -��'' <br /> COIrTTRACTOR: '`-'��t �/` �l � � �C C � PHONS: � "`�-. <br /> � � �+ <br /> MAILING ADDRESS: �y�� ��..� fr?" / ! "" t �.�.'� CITY: �...�'P�`'��':�,;f'�i`� ZIP: . ` .'� � J <br /> STATS LICENSE: � - I��� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRATION �_ <br /> TYPE OF WORR: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) :�T���'Y� `�� ��-� � <br /> GL T /!C,c C�' ��C.� ,/' i?.� /� <br /> STORIES:�_ S4• F�T OF EACH FI,OOR: <br /> NO. OF B$DROOMS: GARAGE ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� �O O <br /> I hereby appl.y for a buiZding 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 accordanc with the app�oved plan. � <br /> ��' <br /> APPLICANT'S SIGNATIIRE s � _. � �1 `� � C."� DATE: � �A''� <br />