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r , T <br /> , CITY OF ORONO - BUZLDING PERMIT APPLICATION <br /> Total Fee: $ � � � , ) C� Date Received: ��� �GI 3 <br /> -T <br /> Date Approved: <br /> Entered By: � <br /> Permit#: '? � (�� �� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed} <br /> ---------------------------------------�------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER �or CONTRACTOR <br /> JOB SITE ADDRSSS: '���'- ; ��">� S`'i ZIP: �.;, �5`! I <br /> (work) C4-�� �'`/ Z r <br /> NAME OF OWNER• '`� �/�� -K t'� -t X PHONE: (home) �-�f -4-�%�` <br /> MAILING ADDRESS: ��;��r �'" �C• �c ,�'",..� CITY:`,'�a/��.,,, ��'r;. ZIP: �� ,:,'��� <br /> CONTRACTOR: PH��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRRSS: CITY: ZIP: <br /> p�g: REGISZ'RATION # <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :����,�=� •c>`� '��rT��t�r� 'i1 ��:J -� i�iL or,��.-/� <br /> � � <br /> `� - � iJ<, �' _i/�� c�i ��f oi -'�27 �'a �` -f - <br /> 'F�--t:,�-,f- G-!r.iC TD �--:'?</5,.,./N�;_ /t l� f�i l?-(.�'�%'��- O�/��1- !��-«c!- <br /> STORIES: / � Z SQ. FEET OF EACH FLOOR: �S; i `4 I S"� ������7 �S;� S r=s <br /> NO. OF BEDROOMS: � G�GE STALLS: ATT. DET. �.-�, <br /> ESTIMATED CONSTRIICTION VALUATION (ezcluding Iand) : $ � � 7Sf` <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 approved plan. � <br /> ������ ,� � <br /> APPLICANT'S SIGNAZ'QRE: ' J .-�',-�''�� DATE: -� �_�/ J.� <br /> _ . / . _ . _ . . <br />