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'� - � <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ !��°' °� Date Received: <br /> Date Approved: <br /> Entered By: � - Permit�: J�5 y7 <br /> AT•T• INFORMATION MUST B$ SIIBMITTED IN FIILI� BEFORE PLAN RES7IEW WILL B$ STAFtTED <br /> (See Check-off List Encl.osed) <br /> ---------------,�'�-� ---------------------------------------- <br /> TgE APpLICANT IS: (circle one) �-���or CONTRACTOR <br /> JOB SITE ADDR$SS: S � �`�'�L"`'� `1 ZIP: ���� - <br /> Gt� h�3 i � 11�� (work) �..3"' � � 7 <br /> v <br /> . i1 i � � > �'(�C�s lZSo r� �4 S�l ��C��A'�PHONE: (home) j� -�� <br /> NAML OF OWNER.� � � <br /> MAII,ING ADDRESS: �s �?`��7'�`��� "1 ,� cl�: l,Jr� A n� ^N zlp: �..� <br /> CONTRACTOR: p$�� <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH�NE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��_ REGISTRATION # <br /> TYPE OF WORR: New Addition Access � Structure Move � <br /> Demo Remodel/Alteration Renovate�/\ Land Alteration <br /> _� <br /> PROPOSED WORR (describe in detail) : <br /> � �� ��� � � <br /> oZ 5�-- � � 1l AJ'?.QS T ��9� o� la S'�� �CP �A�o��- [.���1�(^ 2 <br /> STORIES: SQ. FEET OF EACH FLOOR= ( �� <br /> � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT.�- DET. <br /> � o5� <br /> IICTION VALIIATION (eacluding land) : $ ��� ` <br /> ESTIMATED CONSTR <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 with the approved plan. • <br /> � DATE: a� .� <br /> APPLICANT'S SIGNATURE: ` <br />