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-.. <br /> , � ' • CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � `J Date Received: <br /> Date Approved: <br /> Entered By: � � , <br /> Permit�: <br /> Ar•T• INFOF�MATION MIIST BB SDBMITTED ZN FIILL BEFORE PLAN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR.$SS: �U�`�� �l i�/G�,� '�� /I � ZIP: �J����S`' <br /> (work) <br /> NAML OF OWNER: �� i �<<-'�'T- ��•� PHONE: (home) <br /> MAILING ADDR.ESS: D �� � ,%'?�� CITY: ���)/"1�:/�� ZIP: �-���� <br /> CONTR�CTOR: - - �' �ct S L' -� PHONE: -�'�J� ` ��"� %� <br /> MAILING ADDRESS: �� � ii�:i s r� /l GY _ CITY: �'/>Y��?� ZIP: ���6� <br /> STATS LICENSE: ,� � <br /> ,�c�%� <br /> ARCHITECT/ENGINEER: P$orrE: <br /> MATZING ADDR$SS: CITY: ZIP: <br /> p�: RBGISTRATION � <br /> TYPE OF WORK: New Addition / Accessory Structure Move <br /> Demo Remodel/Alteration �- Renovate Land Alteration <br /> 1�_t:f'c}�r'_ � , � <br /> PROPOSF.D WORK (describe in detail) : - �- � <br /> ` // ;, <br /> �' � l' /�. r^ .i •� — c3 <br /> � � � � <br /> ��, <br /> ��C' � <br /> STORI$S: SQ. FEST OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAG$ STALLS: ATT. DET. <br /> � � ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding I.and) : $ ��iJ�'U L�� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is coinplete 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 /> snderstand 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 /> �,. <br /> APPI�ICANT'S SIGNATDRE: � �'�_ � -C� �. DATE: �� '��' � <br />