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w R <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � ; <br /> Total Fee: $ ` Date Received: �' /p�`z-- <br /> Date Approved: <br /> Entered By: � '' <br /> �} Permit�: �' • <br /> ALL INFORMATION MIIST BE SIIBMITTSD IN FII�L BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWN or CONTRACTOR <br /> 'J zIP: �`��'z a �i i <br /> JOB SITE ADDRSSS: _�j ��j `� �t�YV i._.C��� 1 11'� � <br /> (work) F1'�7�- "�S`l � <br /> N�ME OF OWNER: ?�,�;<. y^-�' �"��t� i-3i'�2>l: PHONE: (home)� �; -;,';y i, <br /> MAILING ADDRESS: .�_�'� I-l� :a_r:�� ,J��e CITY:� )K��?tia-�l�- ZIP: ,`-� � J'`y 1 <br /> CONTRACTOR: C�i t� .� �E' �'_ PHONE: � � �"._ 3`- Z-/ , <br /> MAII,ING ADDR.ESS: �rt-�ri.-� CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATZING ADDRBSS: CITY: ZIP: <br /> NAML: RSGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �� t'��=; , t; �,i�-"A�`�� F^�✓� t��7�n��. <br /> -� r�P,� r � <br /> STORIES: SQ. FEBT OF EACH FZOOR: <br /> NO. OF BEDROOMS: GARAGE STAIS,S: ATT. DET. �� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �('�C�.l� <br /> I hereby appiy 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 will be in accordance with the approved plan. . <br /> APPLICANT'S SIGNATORE: ,,.,�,�T '����v-�� DATE: � �G' . <br />