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� � � CITY OF ORONO — BDILDING PERMIT APPLICATION <br /> To�:a� Fee: $ �-� `'��`�- �� Date Received: <br /> Date Approved: <br /> Entered By: '•�,/r` <br /> Permit�: ��i�a� <br /> AT•T• INFORMATION MIIST B$ SUBMITTSD IN FIII�L BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------- - <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ��1 (' .7 ���'d„�1 /� '�lJl� ,�:r� � ` ZIP: ��-:j �� `/ <br /> (work) <br /> � 1 <br /> � �.. �, ,,_�,� �< �� � PHONE: �home)Fr��'-�L��� L-- <br /> N� OF OWNER: , ,� �T�.'-� _ <br /> , . , , <br /> `�.t � �/iZy CITY: �.....IG l GL c K�` i?, :,� <br /> MAILING ADDRESS: ��� ) ��t-r r 1 l��. �<f ZIP: � � } �` <br /> � <br /> CONTRACTOR: �� r l =�•� � l�--L` PHON$: � J � � 5��-' `� <br /> �iAILING ADDRESS: CITY: ZIP: <br /> STATS LIGENSE: � <br /> � ` PHONE: <br /> ARCHITECT/ENGINEER: �� � t`z % ,,' - <br /> MATLING ADDRBSS: CITY: ZIP: <br /> g�: RSGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGS STAI.I.S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � ' � `�j ` <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 ,�ccordance with the approved plan. � <br /> � r� <br /> / - � �' " <br /> '' ^ . . / , �i ._.. `+ ' j�,.. <br /> / <br /> l. __ <br /> APPLICANT'S SI6IJATURE: �� � DATE: <br />