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; • - CITY OF ORONO - BIIII.DING PERMIT APPLICATION <br /> • �� - �%`'"� Date Received: � /,,�S�i��J <br /> Total Fee: $ 1 / —��! " <br /> � <br /> Date Approved: � ' ' �' � <br /> �, <br /> , <br /> Entered By:�' ��� _ j,�` �� .' <br /> ;/ <br /> Permit�: "� "' <br /> ALI� INFORMATION MIIST B$ SDBMITTBD IN FULI� BEFOR.E PLAN REVIEW WII.L B$ STARTED <br /> (See Check-aff List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRRSS: ��� � � �/,r� �- /'�✓ ZIP: S��j�G/ � <br /> (work) <br /> N�ML OF OWNIIt: �a,,�,�y /"t ��?"�"��S t'"ci c•��f PHONE: (home) y 7�77,�1 <br /> MATI,ING ADDR.ESS: �`�C�� �~�/�� C- �✓ CITY:�.Z/4+,.�Zc�-t-�1 ZIP:S ') 3�f � <br /> T <br /> CONTRACTOR: (i��/v� � � PHONS: <br /> ?�iAILING ADDRRSS: S � �N� � CITY: ZIP: <br /> .—� <br /> STATE ZICENSE: � <br /> ARCHITECT�ENGINE�t: �'� /,�1 � _ PHONE: <br /> :SAILING ADDRBSS: CITY: ZIP: <br /> �,r��g: RBGISTRATION u� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �C� f�- ,� ���� '7��t r�-��n�'�f'�n- �� - <br /> --�<;:� ►- S c; r'� ��. ��c:�- �t,1 - 1 .�N X 3� . <br /> STORI$S: SQ. FEBT OF EACH FI�OOR: <br /> �70. �F BgDROOMS: G�GE STALLS: ATT. DET. <br /> - ��% � <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ � � �"" � �� <br /> = hereby apply for a building permit and I acknowledge that the information <br /> ;bove is complete and accurate; that the work will be in conformance with the <br /> crdinances 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 /> =hat the work will be in accordance with the approved plan. - � <br /> ry y <br /> A.PPLICANT'S SIGNATORE: � DATE: ����/ � <br />