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CITY OF ORONO - BIIILDING PER�iIT APPLICATION <br /> � � r ^ � � ' ' Date Received: <br /> Total Fee: $ /�t��1Gt <br /> ,x <br /> Date Approved: <br /> Entered By: Permit n: v '��y�- <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN RE�7IEfr7 WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- <br /> ------------------------------------- <br /> TgE APPLICANT ZS: (circle one) 06VNER or CONTR.ACTOR <br /> JOB SITE ADDRSSS: �(�� � n v�� �bC� (� ZIP: ��3� � <br /> (work) <br /> N�ME OF OWNER: �( A (C�S ���� PHONE: (hoine) <br /> MAILING ADDRESS: � Of� COJ�LI � �D CIT�= V L�� ZIP: ���`3�''l I <br /> CONTRACTOR: 'C�CM�C'� G�L � ��an C� n�j PHONE: �Zaa-�la �' <br /> MAILING ADDRESS: a-3 d� SY�21 ���� � •S CITY: '(Y��� S ZIP: ���D�-! <br /> STATE LICENSE: # d�L�l1.��-� <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N1�ME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �.oa6��n� -�- <br /> PROPOSED WORR (describe in detail) :� 'N <br /> _ � � .-�� -� <br /> ri.; � `,--�;�.���,�.,�����,�� <br /> STORIES:�_ S4- FEET OF EACH FZOOR= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ � � ��� ' � <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 will be in accordance_wi approved plan. � <br /> ' 2�" DATE: �/ �� / �/� <br /> APPLICANT'S SIGNATORE: <br />