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/ � <br /> ' CITY OF ORONO - BUIZDING PERMIT APPLICATION <br /> Total Fee: $ / � ; . Date Received:1`.�_� - % �- <br /> Date Approved: <br /> Entered By: � <br /> Permit�: '� �} � ` <br /> A�L INFORMATION MDST BB SIIBMITTSD IN FDLL BEFORE PLAN REVIEW WI7�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------�===_�--=�-------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o��ONTRACTOR� <br /> JOB SITE ADDRRSS: ���`�� (-� 7l�"��.��i ���°� ��� � �('t� F.:�I ZIP: � � �� / <br /> (work) `,����' �`f� <br /> NAML OF OWNER: � �L? ;��� PHONE: (home) 7�I "���� � <br /> MAILING ADDRESS: � �� ' � "t i � '� ��. �� �'� CITY: � �� � /���� ZIP: .;� ��� � � <br /> � <br /> CONTR�CTOR:���� �i���' /j ,�� � .�"�r i� �i'' N �`� paorrE: ,��`� c i `�����-�� <br /> �f s <br /> MATzzxc �nnr�ss: �, ;; �%� 7��{�1���J �= J ,+�U-.�cz�: � t�n1 r y�^`'�n. zzP: ��S� ��� <br /> STATS LICENSE: � r � �� ' <br /> ARCHITECT/ENGINEER: � PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> NAME: RBGISTRATION � <br /> TYPE OF WO New Addition Accessory Structure Move <br /> Demo �. Remodel/AlterationJ-� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �A I�E ���`�PU�S G t,�"f', r�l'���'� �x�C �f`'���_ <br /> Ot,v�(;� ���� ���\ i �l'�-� �j ��"�� ;�s, -� � � �5�. ��1S�C� ti <br /> STORIES: � SQ. FEBT OF EACH FLOOR: � <br /> NO. OF B$DROOMS: ? GARAGS STALLS: ATT. � DET. <br /> �t � <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding la.nd) : $ � �� '��' �" r �'�` <br /> I 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 wil 1 be in accordance with the appro d plan. . • ' <br /> t � - �r� ` ✓, `� <br /> A.PPLICANT S SIGNATDRE': /ti� � � DATE: / . <br /> � <br />