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• �� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � � � �� ��� Date Received: <br /> �� Date Approved: <br /> Entered By:_ --� u. -��- <br /> Permit tt. �`� � <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILZ BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Encl.osed) <br /> ------------------ <br /> ------------------ ------------------------------------- <br /> THE APPLICANT IS: (circle one) �4NE or CONTRACTOR <br /> '� > l ZIP: S� �3�� <br /> JOB SITE ADDRRSS: �c���� ��/�'LYlfl � �/ytc�G4 ��_ ���i�iv�....( �� <br /> (work) � %�-/,2�'j <br /> N� OF OWNER: �O%✓��. f� �� `� �Cc.,l2C;�✓�✓ � • v�� �LL PHONE: (home) �7/- �'c�� <br /> MAILING ADDRESS: /�in ;7�iJvt,�l �iui:'f ,���•�. CITY: '�1(OCCii-/�,�_ ZIP: ��7����/ <br /> CONTRACTOR: ��-� PH��" <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: ,� <br /> ARCHITECT/ENGINEER: Pg��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> p�E: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate�� Land Alteration <br /> PROPOSED WORR (describe in detail) : ��u,p--V� �'"��-- '�"�-t� �1�� � ��-�`"E���-���"�'�"'`"�' <br /> __ e f U ., �, � • � , � �/�zc / D O'vvr/ � <br /> STORIES: � SQ. FEET OF EAGH FLOOB: <br /> NO. OF BEDROOMS: ..Z GARAGE ST2�I�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ �0��• �� <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 wil 1 be in accordance with the approved plan. <br /> APPLICANT'S SIGNATDI2E: �,1(���`�yc� �/ �-��L/G-� DATE: iG /�a - �� <br />