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� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> • Date Received: <br /> Total Fee: $ ��� C Z� <br /> Date Approved : <br /> Entered By: .G�� Perrtit tt: :� �'`�3 <br /> AT•T. INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILZ B$ STARTED <br /> (See Check-off List Enclosed) <br /> TgE APPLICANT IS: ( circle one ) O��TNER or CONTRACTOR <br /> <1 <br /> J�B SITE ADDRBSS- �1�`� � `-/�� 4`�C �d � ZIP: SS� 3 � / <br /> (work) <br /> � <br /> �r� �l 'y �S/G� ��� �/, PHONE: (home) <br /> NAML OF OWD7ER: _3 j/ <br /> MAILING ADDRESS: <br /> Cj,� �Ni�,C�S�C' ���� CITY: ��G'1 U ZIP: � .�� <br /> PHONE: y ' � � 3� /� <br /> CONTRACTOR: �I`^^ �ST�,' � � �r� — <br /> �.�7�' � oc.-, �C��G CITY: /�i�j�Cf�/9.-, ZIP: �'�� /� � . <br /> MAILING ADDRESS: � f <br /> STATE LICENSE: T '2��� <br /> AFtCHITECT/ENGINEER: PHONE: <br /> MAII,ING ADDRESS: _ <br /> CITY- ZIP: <br /> N�_ REGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> N1ove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in �ietail) : <br /> �.o .,x/ �,1� nZ �-c/. l�D�-�.. %�i�f � � u /� �' <br /> ,� ��� S �C� �'bf.��-� G��r ���4-/"��4� L �91 f- Sv-.., -. r�- t c.., c <br /> �� o- � L�� � � ?i <br /> D i'�-r�'•'' i S ��l��.r11 0� � r'r!�-� � l!S- d�r^-o:..r� dS r�''' .1-�- t- /",�la?-•_-s �--�--� <br /> STORIES: SQ. FEET OF EACH FLOORs <br /> NO. OF BEDROOMS: GARAGE STAZ.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) - $ <br /> I hereby apply for a building permit and I acknowiedge that the information <br /> above is complete and accurate; that the work will be in conformance wi�hathl <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 wvrk will be in accordance with the a p roved plan. <br /> i� `�� �-� <br /> APPLICAN <br /> T'S SIGNATURE: DATE:� <br /> � "�� _ - <br />