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CITY OF ORONO - BUILDING PER�SIT APPLICATION <br /> •-7 -, � �' '� � ,�� <br /> Tatal Fee: $ / � 6� -����, ,��� Date Received : ���� ��, t'c= <br /> , _ <br /> � Date Approved : <br /> Entered By: <br /> Permit tt: ,�-�� �? ���' � <br /> /�'j'�'�'-'�;a'� --,��/% /l�� <br /> ALL INFORMATION MIIST BE S�MITTED IN FIILL BEFORE PLAN REVIEW WILL B$ ST�tTED <br /> (See Check-off List Enclosed) <br /> - ---------------------------------�---------------------------- <br /> THE APPLIGANT IS: (circle one) O�VNER r CONTR�CTOR <br /> �_.__.._.�... <br /> JOB SITE ADDR$SS: �r� ���}�� .��/1(� �R� V� : v��%�� ZIP: ��E:��-���oc,C� <br /> (work) <br /> NAMME OF OWNER:f'���C,L �/'2��✓Vd�A l�l�r�II���- PHONE: (home) 7 ��— 7i 5�� <br /> MAILING ADDRESS: `� � �c3�"y�N �i�'-�'i �'�-11-'� CITY: �j�v���� ,�� r� ZIP: � S���-`�%.2� <br /> y�g'J�10� <br /> CONTRACTOR: {��1; �.��DR}I►- C.,JNsTn �ic-;�,,�v PsorrE: �i s"?— '%� —//v� <br /> MAILING ADDRBSS: I � �I� I�h ��� � CITY: ��If���rl��c��`✓�� ZIP: � �4' � <br /> STA�°E LICENSE: # -�.�8 � <br /> A.RCHITECT/ENGINEER: (� , -� ,� �LJ � �"�r� PHONE: <br /> � <br /> MAILING ADDR.SSS: CITY: ZIP: <br /> N�: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure rlovei <br /> Demo Remodel/Alteratior� Renovate Land Alteration <br /> � , c-- �-�+ <br /> PROPOSED WORR (describe in detait) : �� ��}vc�1J �-�- t,t,l• � J��� <br /> \` �.V y�/�.� J�J �� <br /> 1��v s` -�u-r� ���<�L� �� <br /> STORIES: %� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATT. i�r DET. h/ j� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding I.and) : $ (-,��J J <.> <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; t,hat 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 a danca�, with the approved plan. <br /> �; <br /> � � J <br /> APPLICANT'S SIGNATURE: �� DATE: �oZ � c� � <br />