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J � • <br /> � CITY OF ORONO - BUIZDING P�RMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date P_pprove8: <br /> Entered By: � permitp: � � J�- <br /> ALL INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WII.L Bg STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � . j'��� -t—�f�`'i C�(��'' /'`�C� ��' . z zp: ���-�-��l � <br /> JOB SITE ADDRBSS. <br /> �J . �. <br /> (work) <br /> NAME OF OWNER: �� ��� trU l � �� PHONE: (home) � i �1��� <br /> IKAILING ADDR.ESS: � ( �-f�-/ �� , (.� �� /Vc�; CITY: � LL�-�{(f� ZIP: �-�� _� � <br /> cox�c�rox: � � `� ''�5 C%�' P$orrE: l '��������, <br /> N..AII�ING ADDRESS: CIZ'Y: ZIP: <br /> STATS LIGENSE: � <br /> ARCHI�ECT/ENGZNEE�tt: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> g�: R.BGI S TR1�TI ON � <br /> TYPE OF WORR: New Addition /� Accessory Structure Move <br /> Demo Resnodei/Alteration Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : �L� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO_ OF BHDROOMS: G�GS STAI.LS: ATT. DET. <br /> ESTI�SATED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ "���V� y ,� <br /> I hereby apply for a buiZding permit and I acknowl.edge 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 accordance with the pproved plan. � <br /> � , ,� � � � �� `' � <br /> APPLICANT'S SI6NATIIRE: � DATE: .,v l C' <br />