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• CITY OF ORONO - BIIIZDING PERMIT A.PPLICATION <br /> Total Fee: $ Date Received: <br /> Date P.pproved: <br /> Entered By: � �, <br /> Perinit,�. <br /> �T•T. INFORMATION MIIST B$ SUBMIT'�ED IN FIILL BEFORE PLAN REVIEW WII�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> \ � � �� <br /> JOB SITE ADDRSSS: � ���' Y'C�'1E'�S ! /7�-r'���5 .L�'���- ZIP: `_�`�S�� <br /> (work) <br /> ' � PHoxE: (home)�7� �// 7-� <br /> N� OF OWNER: ��Fh'�,�L� S� � ���Y� �� - <br /> MATLING ADDR.ESS: ��C� ��CSi /�/s'� J Ll�.j'�;�� CITY: `/��'GffLli ZIP: `�S�E �fl` <br /> CONTR�CTOR: �5��-� � PHONS: <br /> rSAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PH�NE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION 7 <br /> TYPE OF WORR: New Addition Accessory Strncture Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> , �. <br /> PROPOSF.D WORK (describe in detail) : �if/ST`��t ���-5��� y ���'��`- �''������ - <br /> ,-� <br /> rv U L_ <br /> STORIES: SQ. FE$T OF EACH FLOOR: <br /> ?70. OF B$DROOMS: GARAGB STA�LS: ATT. DET. <br /> -�� �/ L ' C'Z <br /> ESTIMATED CONSTRIICTION VAI�IIATION (eacluding land) : $ - <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 /> �,:nderstand 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 approved plan. � <br /> � ,._ ��. <br /> � �� � �� ' � � --C �- <br /> / <br /> APPLICANT'S SIGNATDRE: ' � ,�,�( � �i, � DATE:� �� ✓� �, <br />