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� <br /> � 4 <br /> CITY OF ORONO - BOILDING PERIKIT APPLICATION <br /> Total Fee: $ , � / �� i Date Received: � y <br /> ��, <br /> �� � Date Approved: <br /> Permit#: `�_ Project#: <br /> Building Permit Application Requirements: <br /> 1. Building permit application - to be filled out completely and signed <br /> 2. 2 sets of construction plans to include the following: <br /> a) Floor plans ; <br /> b) Footing and foundation plan; <br /> c) Elevations (of all sides) ; <br /> d) Wall sections and cross sections; <br /> e) Details - stairs and any special connections. <br /> 3. Certificate of survey with location of existing and proposed <br /> structures including hardcover calculations and grading and drainage <br /> plans as required. <br /> 4. Energy calculations - form provided. <br /> 5. Septic report and design if required. <br /> ABOVE INFORMATION MUST BE SIIBMITI'� IN FIILL BSFORE PI�AN REVIEW WILL B$ STARTED <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or ONTRACTOR� <br /> JOB SITE ADDRESS: ��/�.5 Loh� L,c�KF J�LilD ZIP: ,SS3S�O <br /> 3s- t�fi - �;zZ c�v�� <br /> PROPERTY IDENTIFIGATION NO. : TJ�iAc�T r� ��'�� L�ti� .S�'��c�' /.3 J`j <br /> (work) <br /> NAME OF OWNffit S �G'N��D �U�l� PHONE: (home) y1,,3 - -Z�3S <br /> IKAILING ADDRESS: f`16.5 �a�y LA-KE QLVo CITY: Lo� LA-KE ZZP: Ss,3s6 <br /> CONTRACTOR: I��/LDFRS d RF�oOF�E�� PHONE: 8z� -.r`/8/ <br /> MAILING ADDRESS: 3�� � �E'NNFP�N ,4 VE CITY: I''/Ot-S Z IP: SS 4�08 <br /> ARCHITECT: PHONE: ^ <br /> MAILING ADDRESS: CITY: �-- ZIP: ^ <br /> TYPE OF WORR: New Addition Accessory Structure �' Move <br /> Demo Remodel/Alteration Renovate Land A3.teration <br /> PROPOS� USE (describe in detail) : .3 ' S���aN�L 1�o1���f <br /> STORIBS: SQ. FEET OF EACH FLOOR: �Yp 5a�r <br /> AiO. OF BEDROOIrlS: � GARAGE STALI.S: ATT. — DET. ^ <br /> ESTIIrIAT� CONSTRDCTION VALOATIOA (excluding land) : $ 1 Z, �o <br /> I hereby apply for a building permit and I acknowledge that the informatior <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 ] <br /> understand this is not a permit and work is not to start without a permit; ani <br /> � that the work will be in accordance with the approved plan. <br /> � PLICANT'S S IGNATORE: �Pi �C.�w�Q� DATS: �- �7'�� <br /> � , (Please�i11 out the reverse side of this form) <br /> \ <br />