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� ' � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Tctal Fee: $ ' �,�{ 3 i�:._� Date Received: <br /> Date Approved: <br /> Entered By: ,�l� permit#: �.2..ZCo <br /> AT•T• INFORMATION MUST BE SIIBMITTLD IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- ------_�-;-�------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR ' <br /> JOB SITE ADDRSSS: /� :�' ����� r"/���-��`_�/�'' ���C� �/� ,�/�l � �� ZIP: <br /> (work) <br /> NAME OF OWNER: �'`-;` �� c� /�� PHONE: (home) �7�'�E'�'2� <br /> MAILING ADDRESS: l �� ;r �/����C� C.i�C�6-l� J�. CITY: C.=��c:� �- C ZIP: <br /> CONTRACTOR: �f-l3���� L- Cf 2-`�'�(�, C C_ PHONE: `% '�c" - �' '`�=�. <br /> MAILING ADDRESS:.�,�,� ;��_,_ Z��i��3�,��Fr� �T:�:� �� CITY• �;;l_c�c c rr� /'r.'Cpy`�� ZIP: <br /> STATE LICENSE: # � �� �� � �� �/ <br /> ARCHITECT/ENGINEER: �l ��"�/�' ��� '� ���C�'f/ ���� �' PHONE: � � �� -�'�C-�'�,� <br /> // ;'(_ ,� � L ir- : - , � �,, - ��_���t C% <br /> MAII,ING ADDRESS: F�%�!� �� - r CITY: - �; �' . ZIP. � <br /> pAMR: REGISTRATION # <br /> TYPE OF WORR: New Addition_� Accessory Structure Move <br /> Demo Remodel/Alteration s� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �- i� <'' � �'` ` � �� '`' -� ` _-_ ' � <br /> .-'�- � ��� �a;i ,-c �,•�� �°�� ��jC � (� L,; , c C;, <br /> �+ _ <br /> STORIES: ,:� SQ. FEET OF EACH FLOOR: l� �^ � �� C" <br /> NO. OF BEDROOMS: �' GARAGE STALLS: ATT. �-�' DET. `' <br /> ESTIMATED CONSTRDCTION VALIIATION (ezcluding land) : $ � �' �' �� ` � <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 oermit 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 /> � < ��j � � /. ' <br /> APPLICANT'S SIGNATIIRE:�� � < �`< ��_� /�� � <br /> � '"ll% f �= DATE: <br /> �.`.�. . . . . . . <br /> . y�,�7 <br />