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� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � i <br /> Total Fee: $ � ��� �S� Date Received: ( "� a ' � 3 <br /> , Date Approved: <br /> Entered By: �� - <br /> -'�� Permit#: � j �% � <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDR$SS: l� �v �/C�Ir,f}G� �/� /vF ZIP: �✓�C�� <br /> (work) S a� �� � � <br /> N� oF owri�z: �/lCl�"�. C1 t,v I�t'S/D EjVC� PHorrE: (home) `�7 S- YY�% � <br /> MAILING ADDRESS: I/�� rl��'/��GE ��QI�Ir,�' CITY:�� yZ� 1 R ZIP: � G � <br /> CONTRACTOR: � �JI�.0 S�2�/�t'S PHONE: J yy ��d�o <br /> MAILING ADDRESS: -� D �� c�.d1i OG� CITY: /'` � f�p�'}= ZIP: �5 `/ ,:� � <br /> STATE LICENSE: � <br /> ARCHI TECT/ENGINEER: r\ • • �� v'�S��/`�' PHONE: �a� 3�a � <br /> MAILING ADDRESS: �/r2 r�cr�Sla� ���� CITY: �{J/S ZIP: Ssy( � <br /> N�g; REGISTRATION # <br /> TYPE OF WORR: New Addition� Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> STORIES: I SQ. FEET OF EACH FLOOR: I� � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIIKATED CONSTRIICTION VALIIATION (ezcluding land) : $ �i S o �� • �� <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 will be in accordance with the approved plan. � <br /> ' l . h • <br /> APPLZCANT'S SIGNATURE: �� i � �'L2"li DATE:�� '� <br /> i <br /> r <br /> , <br />