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# 3'��� `�` CITY OF ORONO - RUILDING PERMIT APPLICATION <br /> ,f�;i;. <br /> �a: <br /> �T�tal •Fee: $ o�j ! �p . �1 � Date Received: <br /> y, <br /> Date Approved : <br />' Entered By: � <br /> Permit�: la 3 j� <br /> ALL INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN R.EVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT YS: (circle one) O��TNER or CONTRACTOR <br /> JOB SITE ADDRBSS:__jd � 7 /VC�(Z�-{ ,f f-fJ/ZE OR��E ZIP= 5 S 3g� <br /> (work) <br /> UAMF QF l�Wj�1FR- I�/;�nF ,f, v � [ �7�a�,S PEONT?; !home) 7 7�-�1�7` <br /> . v . <br /> MAILING ADDR.ESS: � Ot7 Nn2r�� j/�Q���IG'� CITY: (7iQ0/✓(� ZIP: 5'Sv�y� <br /> CONTRACTOR: I� �- �l G-/1 641�L (On/ST .�"i✓C� PHONE: `f7D `/�U� <br /> � <br /> MAILING ADDRESS: / 7 �'/� �{�..�y 7 CITY: /�J�q ./�<Y ZIP: �`SJ �� <br /> STATE LICENSE: � Z�O� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR {describe in detail.) : �'j ti �r� G� �c� <br /> / /�} , / <br /> _�� �--C �V���. L ..1- �t S{'u_�� ✓1 P�n/ �'u 5 S C'S �'�,� Ltl c�c�Ci� � S 11 r,�,/�f/ <br /> � <br /> r <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. � DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ � � j �{�� . 0 �� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that tre 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 /> tliat the work will be in accordance with the aooroved plan. <br /> APPLICANT' S SIGNATURE: � DATE: -a � � <br />