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. CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �'� �; : C',� Date Received: <br /> Date Approved: <br /> Entered By: � �,,j��-� �,. <br /> � Permit�: {`f �" � <br /> AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FIILI� BEFORE PI,AN REVIEW WII�L B$ STARTED <br /> (See Check-off List Enclosed} <br /> ------------------------------------------------- --------------------------� <br /> THE APPLICANT IS: (circle one) OWNE or ONTRACTOR <br /> l,�'C�,�� , <br /> JOB SITE ADDRSSS: �C�'✓"�� /J/i'��f� � � ZIP: <br /> , <br /> (work) <br /> N�ME �F O WNER: ' ' � i�;r , � PHONE: (h om e) <br /> MATLING ADDRESS: �j��� ���� CITY:�(�,E%� ,�//,�' ZIP: ��'�^ -� <br /> , <br /> CONTRACTOR:.�:�? �!1 ���'/7 S' %�i� .l"� .�-/�%" PHONS: -�`j/- ,l��i� <br /> T" <br /> IKAILING ADDRESS: ��,�J -i/'l��C�iiu,�:;� �� CITY: �/ ' ' ,�' � ZIP: �"r.���� <br /> �, i <br /> STATS I,ICENSE: � /�i.��� <br /> ARCHITECT/ENGINEER: PHONE: <br /> AiAILING ADDR.$SS: CITY: ZIP: <br /> NAME: RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> ,- , � y <br /> PROPOSF•D WORK (describe in detail) : -� _ _�i��i�/.��,��or� �// ��'l,�i��� <br /> � /, <br /> � � � ~ '�� l/s� � ' �� � � <br /> �; � !� ,� ..�,,,, ` ��i <br /> _ �', � <br /> STORIES:� SQ. FEBT OF EACH FZ�OOR: t�U c/�. <br /> NO. OF BBDROOMS: GARAGE STAI�S: ATT. T. <br /> �,� , ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ��C� �'(..� �� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> �bove 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 /> ::nderstand this is not a permit and work is not to start without a permit; and <br /> �.hat the work wil l be in accordance with the approved plan. . - • <br /> � � -,. <br /> APPLICANT'S SIGNATDRE s ��-;y�' �-� '��.'� ' � DATE: �r`�-�'�-- � `� <br /> �— <br />