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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> -� t , `� c� Date Received: <br /> Total ree: $ )� � <br /> J Date Approved: <br /> Entered By: � �/.1�' <br /> � Permi t�: � � -5-� <br /> AI.I. INFORMATION MIIST BS SIIBMITT� IN FIILL BEFORE PI.AN REVIEi�7 WILL B$ STARTED <br /> (See Check-cff List Enclosed) <br /> ------------------------------------------ -�--------_ -------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or�QNSRACTO� <br /> • /; 1� � <br /> JOB SITE ADDRSSS: l���O l�r�.,2�►���t l,�"T�� l� ti L� , �1��� �I D ZIP: <br /> (work) <br /> N� OF OWNER: �O�'1 V� � G�T � PHONE: (home) �f �/� ��� '��J <br /> MATLING ADDR.ESS: ( 3 b� {=�'�n ch (�'e e���C- iQ� CITY: ���o n � ZIP= <br /> CONTRACTOR: 1���a« �J �.e-�'le.�r PHorr�: �� a� 3�'7- �,�i j�_ <br /> MATLING ADDRESS: Il`1nIt7 ( � � �'� �l�_ /1�'�- CITY: ��; ��t i./ , :ti� ZIP: J�3� — <br /> STATS LICENSE: � �7�o -��-(`�;';� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> N�ME: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alterationy� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : ��� � l:%G ��,f� T <br /> �a'� y 5�,i=r <br /> STORS$S: SQ. FEBT OF EACH FZOOR: <br /> NO. OF BBDROOMS: C�RAGB STAZ.LS: ATT. r,%' DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding land) : $ ��o�*�+ �>E`� <br /> I hereby apply for a buil.ding 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; t:�at 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 /> :� ��' � <br /> APPI,ICANT'S SIGNATURE: ;%1�e�' � � ,- t°�`" DATE: /r. _. .3�-- f.Z <br /> �. <br />