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` CITY OF ORONO - BIIIZDING PERMIT APPZICATION <br /> - Date Received: 8�5�9yf� <br /> Total Fee: $ /�/ � `� <br /> Date Approved: <br /> Entered By: ' �'.�;: ,�, �> <br /> PermitQ. l_h/� <br /> AT.T. INFORMATION MIIST BS SaBMITTSD IN FIILI� BEFORE PLAN REVIEW WII.I� B$ STAR�F•D <br /> (See Check-off List Enclosed) <br /> ----------------- --J -------------------------------------- <br /> T'� APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> _ �-._ -- <br /> ' � / �� � �f �t� ��.Z-�'; <br /> JOB SSTE ADDRBSS: L,,/C� / ��'E-/�� �L�,F" � ZSp; .����= / - <br /> —�'�—' <br /> (work) y�y-J j.�_.> <br /> ��� Ll��r� ��' , �/T �� �C,(�/��� � � PHONE: (home) �t 7_�, '�7��� <br /> N� OF OWNER: �' �/�'/�,� - <br /> MAII�ING ADDFtESS ,',�/�1 i�', ���/» �'-\`�, CITY: � /< C'����' ZIP: `i��� �r �f f �t <br /> � <br /> CONTRI�CTOR: ; ��� I���� �(I�;'l�l�/`;�(,'iL,/ PHONS: (��' �j`=% - .5�:C..%C� <br /> MATI�ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEE�22: PHONE: <br /> MASZING ADDRBSS: CITY: ZIP: <br /> N�,a� R.BGISTRATION A <br /> TYPE OF WORR: New V�' Addition Accessory Structure Move <br /> Demo Remodel/Alteration L �� Renovate Land Alteration <br /> , <br /> PROPOSED WOFtK (describe in detail) s `��)Ir' f�� I )i��'�.�� �L� �_ ,�ikl:� � j�<` ���{��� �t<<� <� ���^u�'�����i <br /> STORSBS: SQ. FEBT OF EACH FI�OOR: <br /> NO_ OF BSDROOMS: GARAGE STAI.LS: ATT. DET. <br /> � <br /> g.STIIKATED CONSTRIICTION VALIIATION (eaclnding land) : $�- � ���� t� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor3c 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 /> _�� , <br /> � � � � _ ' '�; <br /> a , . �� _ ; <br /> ?�PPLICANT'S SIGNATURE: � ����'���E,�-'�� .: �-�� t� �:� C.f�� _ DATEs <br />