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•� . _ CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ ,T�O � � Date Received: /Q���y�G <br /> Date Approved: <br /> ,� <br /> Entered By:� ' ' <br /> Permit�: �(i 'J � � <br /> AI�L INFORMATION MIIST BE SIIBMITTSD IN FIIL.L BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ----------------- <br /> T� APPLICANT IS: (circle one) OWNER or NTRACTOR <br /> - .__�_____. _ <br /> . , . . _ ,_ -. \` -; c/ <br /> JOB SITE ADDR$SS: ` >(� ,� �� . ,������t �`�f;����-� �� ZIP: � � ��. <br /> (work) <br /> NAML OF OWNER' , I f_ � ` � i � � . t � � � �. PHONE: (home) `��:',<� T,S� <br /> MAILING ADDRESS: =�E:�� ;�r , 1.�.',. , ;�c__ CITY: �,r�./tir - ZIP: � �7 �.i <br /> -'; � / <br /> CONTRACTOR: f�f�j��1.�.-- �: _e.�;' PHONE: �-t ��__:�l /�.� <br /> MAII�ING ADDRESS: ��(�-.�",, t,, , 4,�M t,�C . ' CITY: / � �:� r. ) ZIP: " ? � ��� `/ <br /> , --, .:. <br /> �- - <br /> STATS LICENSE: � _� ' �-�:> <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION u <br /> TYPE OF WORR: New Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��f��� r� %�� x 5'� I�z�i�-JCl�� �%��f • � w <br /> � . <br /> � �<<�t-���'�l.C_ <br /> STORIES:_�_ SQ. FEST OF EACH FI�OOR: <br /> NO. OF B$DROOMS: GARA�S STALLS: ATT. DET. <br /> - � "`r�~ � <br /> �STII�ATF.D CONSTRTCTION VAL�aTI�N (eacludin� Iand) : $ ; <br /> I hereby apply for a building permit and I acknvwl.edge 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 /> tnat the work will be in accordance with the approved plan. � <br /> �� <br /> / � �% � �. <br /> � � DATE: �,/�� 7- �c <br /> APPI�ICANT'S SIGNAZ'URE: r i. ,. . . <br />