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L � A <br /> � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � -j ;� ,��-J � . <br /> � :� �- Date Received: �' <br /> Total Fee: $ ��- � <br /> � Bate Approved: <br /> Entered By: .�� _ <br /> Fe�it u• �'CG 7 � <br /> AT.T• INFORMATION MUST BE SIIBMITTED IN FULI� BEFORE PLADI REVIEW WII.L B$ STARTED <br /> (See Check-cff List Enclosed) <br /> -------------------------------------------------------- <br /> q*gg APpLICANT IS: (circle one) O�V'i�IER or CONTRACTOR <br /> JOB SITE ADDRSSS: I�f`1 b C�tJ� �' lJ���i l�� ' �I�,�O _ ZIP: ����(D <br /> (work) ��1�" K.el� <br /> NAMF: OF OWNER`� �� � PHONE: (home) �'�.d Jv <br /> MAILING ADDRESS: ITY:�.� �j ZIP: ����Cd� <br /> CONTRl�CTOR: P$��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE I�ICENSE: � <br /> ARCHITECT/ENGINEER: �P VI �r�C� P$��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure rlove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> 1 � � <br /> PROPOSED WORR (describe in detail) : �i <br /> �����] C <br /> STORIES: � SQ. FEET OF EACH FLOORs �-�' ! S ` � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT.� DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $_,�i 1 ►l.V � - <br /> I hereby apply for a building permit and Z 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 rmit and work is not to start without a permit; and <br /> that the work wii 1 be in cord ce w' h the approved plan. � <br /> ! � Z� �-I <br /> APPLICANT'S SIGNATIIRE: DATE: ' ..L�_ <br /> s.-- <br />