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CITY OF ORONO - BIIII�DING PERMIT APPLIC.ATION <br /> Total Fee: $ � `% � � Date Received: <br /> Date Approved: <br /> Entered By: �� pe��t n:�`� y :�) _ <br /> AT•T• INgpRMATION MIIST BS SIIBMITTED IN FIILZ BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> _..__ --------------------------- <br /> -------------------------------- <br /> ------------------T <br /> THE APpZICANT IS: (circle one) O��TNER o CONT.�C�OR <br /> JOB SITE ADDRSSS: <br /> � %��C� �� ,�,/ , � _ - zzP: -�S � i ! <br /> �% i-o .� �� .iL2/� (work) � 7�_ �--�s��,� <br /> � � ����� <F"� ���o� << � �- PHONE: (home) 7- �� ��.30 <br /> NAMZ: OF OWNER: � � � c' d <br /> MAII,ING ADDRESS: � � Y G' � -�� C�/ /7`v CITY: vi�;� � ZIP: S .j � %/ <br /> � � _ <br /> � � ��.--� �n PHONE: �� � � �S�� <br /> CONTRACTOR: / ,�� c' ��'n `` �-` "` <br /> �7 1 /�f� T�m�V L / � rfTTf .5���...�C <br /> /� /C�, li'li� L�",•! �7 r �<r Cll i: ' "%st�' f�� �'/� �' [ilr: � - <br /> MAII.ING ADDRESS: <br /> L `� , <br /> STATE LICENSE: # � � Y-5 <br /> ARCHITECT/ENGINEER: pH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�_ REGISTR�TION � <br /> TYPE OF WORR- New Addition Accessory Structure Move <br /> Demo . Remodel/Alteration Renovate_� Land Alteration <br /> --� �� � �- 7�� � <br /> PROPOSED WORR (describe in detail) : / ��� � �' � G' <br /> .,�%� � C 7`t /c P +�` ��4 7�'� <br /> �� ��, � , , �� �r� �� � � �� <br /> , <br /> �� �� <br /> ,� �/ - � /.� C/' f �� � ,s�'y�= ,.� � ' `� S ' % �' <br /> C7,�-t � / E'c-�� f/ �>- �,. <br /> � s <br /> STORIES: � SQ. FEET OF EACH FZOOR= �� <br /> C-"' G�- <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. DET. <br /> ;� y`,C� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ <br /> I hereby apply for a building permit and I ac?cnowledge 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 r it and work is not to start without a permit; and <br /> that the work wil l be in accordance with the p�oved plan. � <br /> / , , -- � <br /> <� �/ Y � <br /> APPLICANT'S SIGNATIIRL?: �� ���'u� �-� J DATE: � <br /> i <br /> �. <br />