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� T <br /> CITY OF ORONO - 'BQILrdNG PERMIT APPLICATION <br /> Total Fee: $ z' iJ /• ��J Date Received: <br /> Date Approved: <br /> Entered By: ���% Permit#: J � ,�'� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OPINER or,,CONTRACTOR ' <br /> JOB SITE ADDRSSS: I�1.��Y� �� ;p ,,�,�., , �� ZIP: �C�� � <br /> }-�-�'C'�-L.— ��,�� � �}� t (work) <br /> � , �, f <br /> � , , <br /> NAI� OF OWNER: , ' ��'ti� i 1 l� e � 'z�`�L C �- PHONE: (home) <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> � src.v�.IJ s-r�c::������:r2 <br /> CONTRACTOR: ���SYtZ(� � _ J��C� ��� ��� PHONE:���-�Cj�-�'�' <br /> -r <br /> MAILING ADDRESS:�?'t�->� Y����IJC CITY: i, ^'� L �" ZIP: ���' C <br /> STATE LICENSE: � ���,` '�� <br /> ,__._ ------ I, ^ . 1� <br /> (ARCHITEC�/ENGINEER: �C�1C,'ls.'� � � � �'\.�%�� PHONE:"'t��"��� <br /> \ MAILING ADDRESS: CITY: ZIP: l� ' <br /> ��,z.� <br /> NAME: REGISTRATION # <br /> T3CPE OF WORR: New� Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �-..._._.� <br /> PROPOSED WORR (describe in detail) : L� ��ti ���. � ��� <br /> STORIES: l SQ. FEET OF EACH FLOOR: 1 �Mh; ^ n� � "J V�'l� � <br /> .�`> � : <br /> NO. OF BEDROOMS:� GARAGE STALI,S: ATT.� DET. <br /> �- <br /> �L <br /> ESTIMATED CONSTRIICTION 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 permit and work is not to start without a permit; and <br /> that the work wiI 1 be i accordance with the approved plan. <br /> :- /— • . <br /> � i -�� _ _ � .• �, <br /> APPLICANT'S SIGT�A�Q12E: DATE: _� <br /> � , <br />