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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> S Date Received: ��ltv�'-'� <br /> Total Fee: $ <br /> Date Approved: <br /> Entered �By: -�1 Permit n: 7'=�I/ <br /> AT•T• INgpRMATION M�ST BS SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------- <br /> - ----------- <br /> ------------------ <br /> ------------ <br /> THE APpLICANT IS: (circle one) 0��7NER CONTRACTOR, <br /> , ---.�_� zzP: ���G ► <br /> JOB SITE ADDR$SS: �� f'-�'1�u�'`�-�r�'�Y� <br /> (work) <br /> N� oF owrlEx:�,i�C���i r�k.r�au,�;���+��"�ct�(Y1�.(.�d� PHorrE: (home) ¢73-21.51 <br /> MATLING ADDRESS: �U �U'YIGtZI,�,� �Y�r� CITY: l.�)4_��.ct�"� Z�P: LJ� �� � <br /> CONTRACTOR: PHONE: ��� � ��'�c� <br /> MAII,ING ADDRESS: <br /> 1333 Larc Industrial Bivd. cz�: ZIP= <br /> urnsvi e, <br /> STATE LICENSE: # �O0���`�S <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> Ci�: ZIP: <br /> MAII,ING ADDRESS: <br /> REGISTRATION tt <br /> NAME: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��' `�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE ST�LS: ATT. DET. <br /> �j <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding 1�a) : $ f �, �� �1 <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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code, <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 approved plan. <br /> �,� / DATE: �� ����I S� <br /> APPLICANT'S SIGNATURE: �L�/y�~' <br /> - ��l�,,Qs. � <br /> ; ,. <br />