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CITY OF ORONO - BUIZDING P�RMIT APPLICATION <br /> Total r ee: $ �/- '"7 3 ��3 Date Received: <br /> .. Date Approved: <br /> Entered By: � .l� - Permit�: J ��i .�- <br /> ALL INFORI�iATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclo_sed) <br /> __ _ <br /> ------------------------------------------------------.-------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER ortCONTRACTOR <br /> � r `-�- -. <br /> JOB SITE ADDRSSS: / / �� � '�- (w i: � ^� �� � '`' '�Cr, ZIP: <br /> (work) <br /> NAME: OF OWNER: �� /�/� �: �j r},Z� �v F-}- ►��c��� PHONE: (home) <br /> MAILING ADDRESS: J I � �� �`:� ',1�-t �c� • �. CITY: C��'O�O ZIP: S.S�.�CI I <br /> � <br /> CONTRACTOR: � r �'i �- ,� ►� �� � ,��LC S � L�h(C, PHONS: �7.,r- �'CI l� <br /> � <br /> �SAILING A.DDRESS: �� , �o��r�-I � �� ��.�tz� CITY: �,!���1.{. - - p ZIP: $J,�,��I � <br /> STATS LICENSE: � a �.�'Z: <br /> 1 <br /> ARCHITECT/ENGINEER: � r. l?'tk PHONE: <br /> MAILING ADDR.SSS: CITY: ZIP: <br /> N�: RBGISTRATION u <br /> TYPE OF WORK: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �.I�P �� �� �- �J <br /> STORIES: SQ. FEET OF EACH FLOOR: c��%C% C d C���' ��- `` �'- <br /> � � <br /> NO. OF BgDROOMS: � GARAGE ST�LS: ATT.� DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ ��2� �'�' v <br /> � 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 /> -�rdinances 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 wil 1 be in accordance with the approved plan. <br /> � <br /> APPZICANT'S SIGNATURE: �l�,�. < � cy�t.L�.� DAZ`E:�,,�� �� <br />