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• � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � '/' ��R G��J � Date Received: ���a�'��'j� <br /> Total Fee: $ % w <br /> `�.. , ,, - <br /> � roved: <br /> , �, <br /> Entered By: ' ����r�' . �'� , , '(,;�r^" �l��: � <br /> ����� <br /> �,�� . <br /> ALL INFORMATION MIIST B$ SIIBMITT� IN ] �� �,�,/!�'�'— =EW WILL B$ STAR�ED <br /> See Check-off ,�i �r,�./� �.% <br /> -----------------------(-------------- � .�" •---------------------- <br /> THE APPLICANT IS: (circle one) OWNE <br /> JOB SITE ADDRSSS: � �IS` �����'�i..-.�-�. �``�� ZIP: <br /> (work) <br /> N� OF OWNER: �G�,L�,( (`� n "/.(�Z. PHONE: (home) <br /> MAILING ADDRESS: � �7� � � CITY: (,°�-��.pv�:� ZIP: <br /> CONTRACTOR: PHON$: �y��J�' ,�'i , � <br /> MAILING ADDRESS: �'J`� * . ��CITY: ��.. ZIP: �� �G� 51 <br /> �-/ 9 <br /> STATS I,ICENSE: � f� � C> '����_ <br /> � <br /> ARCHITECT�ENGINEER: � ��/ (L��G"[�•Q✓��� PHONE: <br /> MATZING ADDRSSS: CITY: C��'�=t�'L2�- ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detai.l) : ��sti,-� „� �"'I�I�.D lYh�.�„� -�� �jz� <br /> � ( 5 � ' � w <br />� <br /> ��1 ,r� N fi v v"'-7�l'� <br /> STORISS:�_ SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAG$ ST�iLLS: ATT. DET. <br /> � ,� ' <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding land) : $ � �� 6-. �!'��- <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 /> APPLICANT'S SIGNATIIRE: ',�i���� �����1„ DATEs ! � �' � `� 1 / � <br />