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� <br /> x ' � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $_ �f,'� �' ��� <br /> Date Received: / / "� �`�` �j 'f <br /> Date Approved: <br /> Entered By: � �/� Permit�:�;(r:<l�% <br /> AT.7• INFORMATION MIIST BE SIIBMITT� IN FIII�L BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------- <br /> 2`HE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: � � � � �'t4'������'J c� �����t�`�' ZIP: � -� ��i/ <br /> (work) '`��/- ��/ � <br /> � t y.: : ♦� 1 � r �,.;'�, s . . , PHONE: (h om e) �t��� 7 3 /�� <br /> N�ME OF OWNER: d�-s �� lv i C � l . � �t t �- <br /> _ . '�� J�- ' ' z �: <br /> HAII,ING ADDRESS: _,'j;_1-� 1-��� ;'.; tF-�-LC� c - � i CITY: t..> `�. f} //'� ZIP: .� _� �// <br /> � <br /> :ONZ'RACTOR: : � -�-��.c � �( }c: I`� �.,' � L .!�� ��', �/l� C PHONE: =' �-�.� -- �_� // <br /> �AII,ING ADDRRSS. ��=� / /�•�- ,(_7t,�i t �" ��, �i� CITY: i f-f��it-,>1/�`�� ,_ ZIP: <br /> �TATS LICENSE: � <br /> -� � f _ <br /> ARCHI TECT/ENGINEER. i- � =, i '���� '� ,` �`� � � , / : ' .PHONE: � � � •�`:�- ��'> <br /> MAILING ADDRSSS: ���� ��� ��• '��'��'� ; �,r��. � r � � r� CITY: / • ��� � ��< ; � i _�< <'���ZIP: <br /> N�: �'' ; ; < , ' - . , �� r .�< RBGIST'RATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration_�_ <br /> PROPOSED WORK (describe in detail) : �� � `�``�� s d�i. ;, ��� �� C� �� � �� (�-�:� + ► ' ' `���J�Q,'C � <br /> � ; � �� t � �" � � i i`� �� j ; ' ,� . `,+�� �` � � ���� i� �;��� i`� f-4� [. l.a��s�•� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BgDROOMS: GARAG$ ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding Iand) : $ .' ! � ' <br /> I hereby apply for a building permit and I acknowledge that the information <br /> �bove is complete and accurate; that the work will. be in conformance with the <br /> .�rdinances and codes of the City and with the State Building Code; that I <br /> :.zderstand this is not a permit and work is not to start without a permit; and <br /> ��at the work will be in accordance with the approved plan. � <br /> �. <br /> , �. , <br /> �-� �,��"� � �� � �; � <br /> '�'PLICANT'S SIGNATIIRE: � DATE: � � / <br />