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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> . � . � <br /> . Total Fee• $ ^ " �� � t' Date Received: <br /> Date Approved: <br /> � � - <br /> Entered By: - �= �' Permit�: �% 'r' i � <br /> AT•T• INFORMATION MDST BB SUBMITTED IN FULI� BEFORE PLAN RE�7IEW WILL BS STAR�ED <br /> (See Check-off List Enclosed) <br /> - - ------------------- <br /> --------- <br /> Tgg AppZ,TC.�NT IS: (circl.e one) C _OjVNE$ or CONTRACTOR <br /> JOB SITE ADDRBSS• ��j�' ��1���,,1�/ t�����. �--t��� � i�_ <br /> ZIP: `�Lj .S_:�� <br /> , <br /> (work) ��/G�- �'• � 7l <br /> (�r i'� � <br /> NAME OF OWNER: �_..i✓��jc��� � ----�-f ��'� p c � PHONE: (home) `f"7/ -- C��I�j 7 <br /> -� <br /> MAIZ,ING ADDRESS: ��'/tv /��fld�i'1��� ��fl,Zk::.. CITY: �'G�-�S.or ZIP: `"'Ij.��.�1 <br /> CONTRACTOR: pH�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> .�-, <br /> �! p -{� <br /> � �ARCHITECT/ENGINEER: �--=�`-;`"L t 1 � �, PHONE: � _ �7`�c1 <br /> �--. (� <br /> MAILING ADDRESS: ��{ �� f�����,iti�t ��� CITY:1��, ��C�,�1i��:c:,ru.s ZIP:��j :�7� <br /> NAME: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure� rlove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : i 1 Il�tt�►�C� ���;� � � �'+ �f�`� � �L��' <br /> 1 , � <br /> '� :'��C�r- �.u t� `,>�"� �'��W � )�. ��C l�-. „ �����1�� ��tG:�;'��i.2�x'� -- �`�' C� {%`C �, , � �s�" <br /> ��cl �� !r` �L�t"' y�`.�y.= �'�- �`�.s�vt����`��.� GI 1�' '�f�c-�— �/� � <br /> � <br /> STORIES: �• SQ. FEET OF EACH FLOOR: C� <br /> NO. OF BBDROOMS: ��, GARAGE STAZ�I�S: ATT. DET. <br /> ESTZI�SATED CONSTRIICTION VALIIATION (ezcludi_ng land) : $ 7�,� C'(L' �� ��"' � �G �'`�"-' <br /> I hereby apply for a building permit and I acknowiedge that the information <br /> above is complete and accurate; that the work wil. l 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 /> APPLICANT'S SiGNATOR$: DATE: <br /> _ _ _ ._ _ . . - _ .. <br /> . �-- - -- - - � �' <br /> _ _ . . -- . - - �,�_��vf�� ; )���� <br /> � r� <br />