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� . , . CITY OF ORONO - BIIIZDING PERMIT APPZICATION <br /> Tota.I Fee- %�' :_ �j Date Received: � �� ���� 'f_�` � <br /> . $ r,.� <br /> Date Approved: <br /> Entered By: � �/,_� <br /> Permit� ";•',��a'7 <br /> �T,T• INFORMATION MIIST B$ SIIBMITTSD IN FDLL BEFORE PL�N REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> � APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRRSS: �> ��J /� �� C�L ZIP: <br /> (work) <br /> . <br /> �3� OF OWNER: �� ��;i2i� 1�� C�1� 1'���= PHONE: (home)� I"�� ��� <br /> MAILING ADDR.ESS: lC�`Y � � �(rC! �ti• CITY: '� �� ZIP: <br /> �_ �, G�7�r�/D, <br /> CONTRACTOR: �C:� /'u- �C�2��� PHONS: ���� '� �Q �_� <br /> MATLING ADDRBSS: I � L G'i ��� � �� � � CITY:���('/L���l'�� � c� <br /> Z �� zzP: �� ' / <br /> STATS I,ICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�ME: R.BGI STRATION � <br /> TYPE OF WORR: New � Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � <br /> PROPOSED WORK (describe in detail) : ���1✓FrU� � 1����� ����- <br /> ��)C /� _` �� �C ��- <br /> STORIES: SQ. FEBT OF EACH FI,OOR: <br /> NO. OF B$DROOMS: GARAGS STALLS: ATT. DET. <br /> - � r��� �� � <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ <br /> I hereby apply for a buiZding permit and I acknowledge that the informativn <br /> 3bove is complete and accurate; that the work will be in conformance with the <br /> �rdinances 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 will be in accordance with the approved plan. <br /> �----, <br /> APPLICANT'S SIGNATDRE: /�`' .n� `������'C _ ' DATE: � ~ ! � � / `J <br />