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y� '`' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $��� Date Received: <br /> Date Approved: <br /> Entered By: '�(°� ( 33 <br /> Permit�: „ .2, <br /> ALL INFORMATION MDST BE SIIBMITZ� IN FIII�L BEFORE PLAN REVIEW WII.L B$ STAR�D <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: � �o t�l �G���� �� t � � ZIP: 5�37�0 <br /> (work) �73-(�`1"� <br /> x� oF owrlEx: l,t� �,(.�,,�� S y�21� PsorrE: (h ome) �1�J-►3�� <br /> HAILING ADDR.ESS: �1� ��Q�'-1 � CITY: l�- ZIP: �j��� <br /> CONTRACTOR: �� B-�� � '�--� PHONE: ���l� l� <br /> MAILING ADDRESS: I��Oo �j7��'"� �-Q � u, CITY: P��y�e�t,l"� ZIP: ��7��� _ <br /> STATS I.ICENSE: $ ��'0 Z�10 <br /> ARCHITECT/ENGINEER: ��-- PHONE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> N�: RBGISTRATION u <br /> TYPE OF WORK: New Addition Accessory Struczure Move <br /> Demo �t Remodel/Alteration Renovate_� Land Alteration <br /> PROPoSED WORR (describe in detail) : ►� � �� �� ' �'"� l��" la ���/ <br /> ,�� �. `���Q..w.c� � cj�t.��� � �cC�.Q �>I�¢�l,o e�. � �t.�l t/l.��l u� <br /> STORI$S: � SQ. FEBT OF EACH FI�OOR: �d`�� � <br /> NO. OF B$DROOMS: ,� G�G$ STALLS: ATT.�_ DET. x <br /> - o� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �O� o-� � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor3c 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 in accordance with the approved plan. • <br /> 1 DATE: � (SC�t <br /> APPLICANT'S SIGNATURE:I���-�'� � _I � <br />