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f CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ �� _��� � �(� 3 Date Received: ' 3 ' / <br /> Date Approved: <br /> Entered By: � <br /> Permit�: ��.� �� <br /> ALI, INFORMATION MIIST B$ SDBMITT� IN FIILL BEFORE PZ,AN RE�7IEW WILL B$ STAR�ED <br /> (See Check-off List Encl.osed) <br /> ------------------------------- ---- ---------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � � �-�- ,,� � <br /> J <br /> JOB SITE ADDRBSS: �r J � ���h��� �? ;•.� r .�� �t=�� , ZIP. -� -� i <br /> . (work) i �l/-/G / "�� <br /> � � �� � �d� � <br /> NAME OF OWNER: j f't�� F� ;�'� •^. _a �. PHONE: (home) � /E-� <br /> r.�.. � ;-• <br /> MATLING ADDRESS: ��� �n�! ��� CITY��f����F��l'� ZIP: ,,�� .� �C � <br /> �-- 7 � -, ����% <br /> coN�c�roR: �) r'� `� PaorrE: �C� r <br /> i � � �' <br /> i _ ;-�, � <br /> MATLING ADDRSSS:i�� (� 'i'► ,X �,% %�� CITY1-�'U-�,, �,�� ;�� ZIP:�,.:> �� � j <br /> STATS LZCENSE: � <br /> ARCHITECT/ENGINEER: l��;,�/�l-r.� PHONE: <br /> MATI,ING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION n <br /> TYPE OF WORR: New �`�- Additio� Accessory Structure Move <br /> Demo�_ Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) :(`�� Y��� t.:a-� � 1��-�'�� /'r r%+���'� IJ��� M-'l��� - <br /> STORIES: / SQ. FEBT OF EACH FI�OOR: ,..,;j +r <br /> NO. OF B$DROOMS: GARAGE STALLS: ATT.�� DET. <br /> . � <br /> ESTIMATED CONSTRQCTION VALUATION (eacluding land) : $ ,. <br /> I hereby apply for a buiZding 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 /> � � � �/ �4�� <br /> APPLICANT'S SIGNATIIRE- / ' `�-' DATE:�--' •� � � � _ <br />