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� <br /> • • � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �'- � � Date Received: /(?�,2.,/�'7 <br /> Total Fee: $ ,���, �.`> , <br /> Date Approved: <br /> Entered By: /":!! - <br /> Permit#: c��i,�,��, <br /> AT.T• INFORMATION MOST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: .�7 /�J ���������g� ZIP: <br /> (work) <br /> NAME OF OWNER: B���- rTLL.Ei✓ PHONE: (home) �J/- Y�',s�� <br /> MAIZ,ING ADDRESS: �� 7S L/l�/'�G�Tvr, CITY: OiC'��✓D ZIP: <br /> CONTRACTOR: �ft ir..: l� �, /'��'j*�E` PHONE: `�7,� - lo!� S-�j <br /> MAII�ING ADDRESS: 17�� ���0����'! �`�� CITY: �ff`,'a�'�' ���' ZIP: ��� �/ <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PH��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> Idp,Mg: REGISTRATION # <br /> TYPE OF WORR: New Addition� Accessory Structure riove <br /> Demo_� Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : n E��v� ��'iST�r✓G �N%,��u/�#-c� �'�CY,t���t%iGi✓. <br /> �✓�,+� �C���:l j r+�',�;y-�l �}�)� �NT E'�.r/�, ,—��/6 �=:rrJtit '� �//'3i?�f,�' /D.k'/f� D�Ct�C �,F'/Ffc�.✓� <br /> ,� <br /> STORIES: � SQ. FEET OF EACH FLOOR: Z�� <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�SATED CONSTRIICTION VALIIATION (ezcluding land) : $ � 01 G��� <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 2 <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work wil 1 be in ccordance wit�e approved plan. � <br /> • v/ DATE: Co � `j � � <br /> APPLICANT S SIGNATURE: <br />