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'" � CITY OF ORONO - BIIIZ.DING PF•RMIT APPLICATION <br /> m f c� Date Received: % � ,� ' � � <br /> �otal Fee: $�-�''�'� '� _ <br /> Date Approved: <br /> Entered By: �'� Permit�: ���i,Z <br /> pT.T. INFORMATION MIIST BE SIIBMITT'� IN FDI�L BEFORE PLAN REVIEW WII�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------ <br /> �-------- <br /> T� APPZICANT IS: (circle one) OWNER or,(CONTRACTOR� <br /> JOB SITE ADDRSSS: � '� � I C� �-�!�t_�Ct-1 GI��=C I� b�i�l t= ZIP: <br /> (work) <br /> N�ME OF OWNER:�; �L � 1 ��A L�►ti i l`fl c L�► `t E►= PHONE: (home) <br /> MA.II,ING ADDR.ESS: I Z ��j �=tZLI-t��-► G�-�� IL CI�: cG��t� ZIP: <br /> ��Z��i i= <br /> CONTR�CTOR: �-�J�.tl�.f F�O 1Z�L �=S 6 G iJ��� � ��U 1 L�E E S PHONE: S�3 -d�S '� <br /> MATI�II7G ADDRESS: C�� �O �Z�� c��.v. u. CITY: ��Of��t �Is 4-�� IL=ZIP: ���-2'2 <br /> STATS LICENSE: � �Z �� 7_ <br /> ARCHITECT/ENGINEER: G,r. ��J t-4o iZ��� i��`'�1 G��1�� � `� �U� t,C . PHONE: <br /> MAILI2dG ADDRSSS: CITY: ZIP s <br /> N��: RBGISTRATION A <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Resnodel/Alterationl/ Renovate Land Alteration <br /> �� <br /> i <br /> PROPOSED WORK (describe in detail) : (7�r.��p� � l�`"'���•� � 1== x��r�►_,c� �ti r_i 1 S u- <br /> /'��l CE �' i� ii-��l�-C v` ��=R�1 L IJ � 1�c.-1 t`�U L�V l_ L <br /> STORIBS: 2 SQ. FEBT OF EACH FLOOR: <br /> NO. OF BBDROOMS: C=ARAGS STAI.I,S: ATT._� DET. <br /> ESTIHATID CONSTRIICTION VALIIATION (eaclnding Iand) : $ � S O Q''� - U� <br /> I hereby apply for a building permit and I acknow.Iedge that the information <br /> 3bove is complete and accurate; that the worJc wili be in conformance with the <br /> �rdinances 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 /> APPZICANT'S SIGNATDRE���n�- \-t I<%. ., 9G--c'�c�� _ DATE:�1� � <br />