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CITY OF ORONO - BUILDING PERMIT APPI.ICATION <br /> L <br /> Total Fee• $ ) ��� �� � Date Received: <br /> Date Approved: <br /> Entered BY: ��"� u. �' Y / <br /> Permit,r. <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List EncI.osed) <br /> --------------------------- <br /> ----- ---------------------- <br /> THE APPLICANT IS: (circle one) � 06VN or CONTR.ACTOR <br /> _d�� ���.-�..a�.<�r Z I P: <br /> JOB SITE ADDRSSS: ,r- (�- �'�- '�� <br /> �`(-� �• � �---`-�►-_ (wo rk) <br /> NAME GF Gw'N�: �c�vl tt�c�s-'� PHONE: (home)`f"7 vZ -a2.���`� <br /> MAILING Annx�ss: t�-t`f S ��t'�--,�=�``�'�— cITY:,�`'��-''.�`:,� zzP: S$'3�`� <br /> CONTRACTOR: p$��" <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��' <br /> MAIZING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION T <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration� <br /> PROPOSED WORR (describe in detail) : -�_ C_'�U�'�'"' 4�� ' ��"""''�'� r�'���(� <br /> L�=��--���� � . i� <br /> STORIES: SQ. FEET OF EACH FLODR: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 _ <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 /> -�.._,. ,� <br /> APPLICANT'S SIGNATUR����'�--'�>�� DATE: -'j - � �� <br />