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�►.; I�- <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ � .>� _ Date Received:��3i 1`r� <br /> Date Approved: <br /> Entered By: � ��/i <br /> Permit�: �l`�� <br /> AT.T• INFORMATION MIIST BS SIIBMITT$D IN FDLL BEFORE PLAN REVIEW WII�L B$ STAR�E7� <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------------ <br /> TEE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> r_ . .`� <br /> JOB SITE ADDRSSS: ';�'� � �_ y/ � < �(J ZIP. <br /> (work) <br /> � % <br /> N�ME OF OWNER: ����'���'�' � ��l�C� '�`� PHONE: (horae) ��� �� - <br /> , <br /> MAIZING ADDR.ESS:.�;'�; �� �"'- :� /�`�� CITY: ���r�,��'�<% ZIP: <br /> � . //i� j� : �� <br /> CONTRACTOR: ' F"I'f- �•�C��--.-c�=J �--��/�--j�� PHONE: 1 ' � <br /> -� ��-- � . . � <br /> MATLING ADDRRSS: 75� ��r✓.';;��--� ��'r CITY: �ri� (`� �`'y ZIP: -> J � -J <br /> f .,i <br /> STATS LICENSE: � .� � � � <br /> , <br /> ARCHITECT/ENGINEER: ��-r ., ,'1`,"_"�- PHONE: <br /> MATLING ADDRSSS: '- � , '--J CITY: ZIP: <br /> Np,�: R.BGISTRATION tt <br /> TYPE OF WpRK: New Addition Accessory Structure � Move <br /> Demo�_ Remodel/Alteration Renovate Land Alteration <br /> /'<f;X �' _, <br /> PROPOSED WORR (describe in detail) : '=�=� ` <br /> --�., , <br /> STORSES: SQ. FEET OF EACH FZ�OOR: <br /> NO. OF BBDROOMS: G�G$ STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTI�N VALIIATION (eacluding land) : $ �� ' �?'l ��' <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 /> � <br /> , ,� ; ._ �'� <br /> �-- � .- J�� � . / <br /> ,"_�� _-'""- __ ,r> J � % <br /> A.PPI�ICANT'S SIGNA���/ �' DATE. <br /> '.._Z" ; <br />