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f <br />� <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ f�,(� � � Date Received: <br /> Date Approved: <br /> Entered By: �"�� ��� � <br /> Permit�: �/�� ' - <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Encl.osed) <br /> --------------------------- <br /> TgE APPLICANT IS: (circle one ) Oj�TNER or CONTRACTOR <br /> JOB SITE ADDRRSS: � � 6 � ���"�� .S �°c_��1 � c�i - ZIP: <br /> (work) <br /> NAML OF OWNER- �� 1�.✓� �i o G> � PHONE: (home) �I 1 L - � <br /> MAILING ADDRESS: � � � j -������ 5 ���.'� r�� CITY: �_����a l�c� ZIP: �S 3 <br /> CONTRACTOR: �z� �, �-� �E� �; � �-� , �_S �/� ���s f,���$oxE: � � l- `� Z G� .� <br /> �,- <br /> MAILING ADDRESS: ���S C� C� L., „� �"L_ ✓� CITY: 1�,'«� ��, ��� ZIP: S J �1�_ <br /> STATE LI CENSE: # �Z �C� <br /> ARCHITECT/ENGINEEF2: � t3 ✓1 C G�t 1�'c,o � PHONE: --- <br /> MAILING ADDRESS: `-- CITY: -- ZIP: — _ <br /> N�ME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure blove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detaii) : �� ���z-- � JC r � '� � �^ � � `' ��'�` � � <br /> .L L • `,, � � `J � ' �� ..., <br /> � � ,� .� �z / � Z <br /> STORIES: SQ. FEET OF EACH FLOOR= � <br /> NO. OF BEDROOMS: G�R.AGE STALLS: ATT. DET. <br /> �c> <br /> / ��� <br /> ESTIMATED CONSTRIICTION VALIIATION (e�cluding land) : $ � <br /> I hereby apply for a building permit and I acknowledge that the informatio: <br /> above is complete and accurate; that the work will be in conformance wi�ha�he', <br /> ordinances and codes of the City and with the State Building Code, <br /> understand this is not a permit and work is not to start without a permit; an�. <br /> that the work will be in accordance with the approved plan. � <br /> '� ��� /C <br /> �` � <br /> � j �` � � `' �-�" DATE� � 1�- <br /> APPLIC.ANT S SIGNATIIRE: � <br /> ! J/_ �-- " <br /> � <br /> � <br />