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�, CITY OF ORONO - BUILDING PERMIT APPLICAT30N <br /> � <br /> Total Fee: $ .33 ��� Date Received: <br /> Date Approved: <br /> Entered By: iC'-�� • ����U <br /> Fermit tt: <br /> A7•T• INFORMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN RE�7IEW WILI� BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------ <br /> TgE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS:� �__`,`�-� `-'// �J �� . ZIP: <br /> (work) <br /> NAME OF OWNER: � C� ��L� ��� �J PHONE: (home) <br /> MATLING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �i ' S � � �' l:� C_-<���� � PHorr�: �-� 7�"�� �`� <br /> MAILING ADDRESS: S�? 1� ` ��°U�/ :�(.�.�,.�U �LV CITY: E`� -�L�,-�-�j> ZIP: � S ��` l <br /> STATE LICENSE: # S � ��� <br /> ARCHITECT/ENGINEER: P$��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � -� rs�---� A Pt:�� �•� : <br /> PROPOSED WORR (d�scribe in detail) : � C I*�� �� � �L � `� <br /> � � <br /> �.•-e �i�-� �, l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br />, =� ` I� '- c�`_� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $_�� `, <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 I <br /> understand this is not a permit and work is not to start withvut a permit; and <br /> that the work will be in accord ce with the approved plan. � <br /> � <br /> �� �� <br /> APPLICANT'S SIGNATIIRE: ��' ' ' . �.� ___ DATE: �� - Zi '�"��� .� <br />