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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �� ? y �' • � Date Received: <br /> Date Approved: <br /> Entered By: .f�11� permit tt: l `f ,� <br /> AT,T• INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PI+AN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------- ---�-�------- <br /> -------------------� <br /> ------------------ <br /> THE APPLICANT IS: ( circle one) OAlNER o CONTR.ACTOR� <br /> JOB SITE ADDRBSS: � �� � �' Y S r ZIP <br /> (work) <br /> NAME OF OWNER: ,�� �� rtC !ti EJ ��' S � �' � PHONE: (home) `�?,�- �y 7� <br /> MATI�ING ADDRESS: � / �� f v;� S�r CITYz G'-�"��`. c�� ZIP: <br /> � � � <br /> CONTRACTOR: �j /(��6Ct> <br /> � Xy��' �� ��� c', PH�NE: /3 7 - �) � L� <br /> MAILING ADDRESS: r� � -�� /�� 7�L �'� CITY: C._�j(i,�� �"�'-L �j _ ZIP: S� �'-�� <br /> STATE LICENSE: � �� G C ,5 �Z �J <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> gAMF: REGISTRATION � <br /> TYPE OF WORK- New Addition Accessory Structure Move <br /> Demo • Remodel/Alteration Renovate �- Land Alteration <br /> � <br /> PROPOSED WORR (describe in detail) :_� <br /> / �, `=/ � �a�re 4,.-., /�� .7�-, <br /> . � <br /> STORIES: SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS: GARAGE STAZ�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding la.nd) z $ <br /> ��� QC?C: . �r' <br /> I hereby apply for a building 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 wil 1 be in accordance with the app roved plan. � <br /> .=�� , <br /> �� DA�: �i-�y y� <br /> APpI,ICANT'S SIGNAZ�DRE: �- <br />