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CITY OF ORONO -�II���ING PERMIT APPLICATION <br /> � � Date Received: <br /> Total Fee: $ �3� S <br /> Date Approved: <br /> Entered By: •'�-��" Permit tt:�%� d <br /> AT,T• INFORMATION MIIST BS SIIBMITTED II`7 FIILI� BEFORE PLAN REVIEW WI� B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------- <br /> -------- ,�. --------------------------- <br /> ------------------ .... <br /> TgE APPLICANT IS: (circle one) OP7NER CONTR.ACTOR <br /> JOB SITE ADDR$SS: SU On�-1Z-���Up �� _ ZIP: <br /> (work) <br /> NAME OF OWNER: C.�-t��1 ��►v PHONE: (home) <br /> MAII,ING ADDRESS: I�Y� DQ CITY= ���� ZIP: <br /> CONTRACTOR: � 6 r L,v PHONE: �{7 3 -3 3 q 7 <br /> MATLING ADDRESS:�S r�-� ( �1 � �� CITY: ZIP: �� r7 � <br /> STATE LICENSE: # �3� <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�ME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � d� o�.SG c �� �� ��"""/ <br /> PROPOSED WORR (describe in d�ta11) : �� 1�'h� <br /> �°S�.Sh ��C� �Y' 3a� �� �� l�`=3a� t� � W �lJo, �� <br /> � �r f <br /> STORIES: SQ. FEET OF EACH FLOORs <br /> NO. OF BEDROOMS: G�fRAGE STAIaLS: ATT. DET. <br /> W <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <br /> �I��Q � <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 a r ed plan. • <br /> APpI�ICANT'S SZGNATUREs <br /> DATE: I��/ � ( r <br />