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. <br /> � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ - �-' r`� Date Received: <br /> Date Approved: <br /> Entered By: ' i _ - <br /> Permit#: <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII� BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: 3/Z`� �>� �eR��r ZIP: 553510 <br /> (work) 33(0-'��33 <br /> N� oF owxEx: �-GkN C�ZL�i�I PHorrE: (home) `f7�-z��� <br /> MAILING ADDRESS: 3ia5 ��c sl��T CITY: ��0 ZIP: �3�� <br /> CONTRACTOR: k�vni�ri� Dv,eR �c�����-,�s PHONE: �3.5-�78� <br /> MAILING ADDRESS: 48�a wr�i�,ar� �o�o CITY: l�9i�.'AJ�7'Oti°K1� ZIP: 5�37.� <br /> STATE LICENSE: # I�3� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAML: � REGISTRATION # <br /> TYPE OF WORR: New Addition /� Accessory Structure biove <br /> Demo_� Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED woltR (describe in detail) : D�ro�SH �w�N� r�RcN�, Cdti►�tR�9�>1� �t�D <br /> �. Fr. �A��L�Y f� ��D�fia,v, /�rE,e�o,e �T��=na�vs_ <br /> STORIES: � SQ. FEET OF EACH FLOOR: 5�� `���� <br /> NO. OF BEDROOMS: G�fRAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ 7�e�p� '� <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 will be in accordance with the approved plan. <br /> / <br /> APPLICANT'S SIGNATURE: �DATE: �-�-i3 <br />