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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �� � <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permitn: `� '75�� <br /> AT•T• INFORMATION MUST BS SDBMITTED IN FDLL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------- <br /> TgE APpI�ICANT ZS: (circle one) O�dNER or CONTRACTOR <br /> JOB SITE ADDR$SS:� ��n/ �lI r�l�C%s "'��'=i�� ivC�'7�-l�f-k�f'� L��- • _ ZIP: <br /> (work) <br /> NAME OF OWNER: �' (f N/�� �,r n, (_'�'l t:� --� PHONE: (home) <br /> CITY: >> �in-,ii�'> --,�J ZIP: ��S4� �-- i�'_4�`� <br /> MATLING ADDRESS:�-' < <� / �� 'r-�' i 7 - — � <br /> CONTRACTOR:�� `,� !c��. �,E' v�'z i b v PHONE:��` -?_" ! `., <br /> �'oA,s <br /> MAILING ADDRESS:�;''r7/; 't°N7'�[' i��' � /���" CITY:��-'�Il;�; �.�K� F'i>2K ZIP: S��-3C_. <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PH�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORR- New Addition Accessory Structure Move <br /> Demo . Remodel/Alteration Renovate ., Land Alteration <br /> PROPOSED WORR (describe in detail) : � - <br /> STORIES: SQ. FEET OF EACH FLO�R= <br /> NO. OF BEDROOMS: GARAGE STAI.I.S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �OL � � <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 without a permit; and <br /> that the work will be in accordance with the app roved plan. <br /> � � ��� DATE: i'/_/� - %� <br /> APPLICANT'S SIGNATIIRE� : .� =� -..-� ��.. <br />