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1' <br /> CITY OF ORONO - BUILDING PER�iIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> ��. ��> <br /> Entered By: �1 <br /> Permit�: ,��.5 ' <br /> �I.I, INgpRMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEH1 WILI, BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------ <br /> --------- ,�-�--;-------- _, <br /> ----------------------------- _; <br /> TgE APPLIGANT IS: (circle one) VNER ^�CO TRACT _ <br /> ,�y� �� <br /> JOB SITE ADDRRSS: � y ��� ��/r�� l`�0�1 a c ����' �o%/�.z.���� ZIP: ,�'_�7 J�� <br /> � <br /> (work):' �c�-c �-��� � <br /> '� ' � ` �3�1}� � <br /> � � � i �� ,� PHONE: (h ome),� c� <br /> NAME OF OWNER I�� -� ��� � � ,�t 1.-C'���� <br /> � � <br /> , C� > C z <br /> � 'ti'C�ITY: � �; '� ' . ZIP: ' ..IJJ <br /> MA.ILING ADDRESSe�/- ���i�� i,'���i ��,�, <br /> � <br /> .� � /� � ' �'��!�� �� <br /> �� � � � PHONE: <br /> CONTRACTOR:�'��,�7 ��"���z-��y s%� � (`7-vl��'��---' <br /> � <br /> MAILING ADDRESS: �*'�-�T' CITY: ZIP• <br /> .�.����--=�'" '7-�1,=— <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> N�� REGISTRATION ,ur <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> r <br /> � <br /> PROPOSED WORK (describe in detail) : � . � �.L` � ���"� � <br /> STORIES:����'t- SQ. FEET OF EACH FLOOR= <br /> l`�" — <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> _�/, <br /> �i <br /> ESTIMATED CONSTROCTION VALIIATIoN (ezcluding 1and1 = $ �� � < < ' �� <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 wi�ha�hl <br /> vrdinances and codes of the City and with the State Building Code; <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 /> APPLICANT'S SIGNATQRE: �" � �' �� e�-�� ��l L �� DATE �'� � -��+-� <br /> �� c <br />