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CITY OF ORONO - BIIILDIN� PERMIT APPLICATION <br /> �' �� � ���� Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By; �A� <br /> Permit tt: �i v��a <br /> AT•T• INFORMATION MUST BS SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----�-------- <br /> -------------------------- <br /> --------- ----------------------- � <br /> TgE APPLICANT IS: (circle one) O��iNER or CONTRACTOR <br /> JOB SITE ADDR$SS: <br /> � <�G c- /d�� �/`��="�'E ��' Z IP: 5 � 3��° <br /> (work) <br /> NAML OF OWNER: <br /> �Jc� /�eL� �1 �1�� ` 5,� �— PHONE: (home) y�� - �e�T� <br /> MATLING ADDRESS: <br /> � y��� 2�� ���� f�k" CITY: �C�� �� ZIP: S �� 3%� <br /> CONTRl�CTOR: ��u- ���`; �/ � � L`'�c� i�' �'c.�%-S�� PHONE: ��`�� ^ �� �� <br /> i <br /> � /'� �i `�l�cz�: �'� c�� �`%'� zzP: �-S 7� % <br /> MAILING ADDRESS: /C� �� � ,y' �h �� ��1��/ %R� <br /> STATE LICENSE: # C�'�� ��' � ��� <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME. R.EGISTRATION n <br /> TYPE OF WORR- New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ���' �' ���`t� <br /> PROPOSED WORR (describe in detail) : % �� � � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding landls $ <br /> �C�-�%o r �-zs <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 /> ordinances 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 /> / � ^ �/. <br /> ���=, ,� DATE: ' �� / 5! <br /> APPLICANT'S SIGNATORE: <br />