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CITY OF ORONO - BUILDIVG PER'�iIT APPLICATION <br /> Tot�� Fe'�e: $ / �� �v Date Received: <br /> Date Approced: <br /> Entered By: t�3 � � <br /> Permit�: <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> ._ ..-_._. ..__ <br /> _ __ _--- <br /> JOB SITE ADDRSSS: �7��L`, � �- - E' � 4 �� �'� ZIP: <br /> (work) <br /> NAME OF OWNER: � � , 4� � � •` F PHONE: (home) <br /> MAII�ING ADDR.ESS: �C;�� ' � � : �:,v - CITY: �4��+�--C� ZIP: <br /> �-- <br /> CONTRACTOR: � � - -S>�c -.� ��, , - �= ia' ` PHONE: �-�i/������ <br /> �� �-y' Z IP: � ,'=,����/ <br /> MAILING ADDRESS: _s�j`�'� �'� `-X c rt r' � � ..� CITY: ��c��- ,•, �l <br /> STATE LICENSE: � �f�% i�-� <br /> ARCHITECT/ENGINEER: pH��' <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> _- I,�(1� � <br /> PROPOSED WORR (describe in detail) - / �-� s�� �� `M - �� �'�"�-' <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI.I.S: ATT. DET. <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 Buiiding 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 ap oved plan. � <br /> � , � <br /> ' / ------- _ __.. / <br /> APPI,ICANT'S SIGNATURE: _ � .,�/ � DATE: C�-��/�t� <br />