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� CITY OF ORONO - BUIZDING PERMST APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> � Entered By: permit�: <br /> ALL INFORNlATION MIIST BE SIIBMITTED IN FULL BEF�RE PLAN REVIEW �� B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------- <br /> THE APpLICANT IS: (circ].e one) 0��1NER or CONTRACTOR <br /> � JOB SITE ADDRSSS: �70D ��1� �-i d��-��^'—' ZIP: <br /> (work) 3',I�� 4r3�T 8 <br /> NAI�: OF OWNER: �'�1���1�3 ^ �L� � ����� �GT PHONE: (home) — <br /> MAII,ING ADDRESS: �l"� �o2�Te 5�1,� s�' _ CITY: �'(J�..S ZIP:ti.541�f^ 1�0`� <br /> CONTRACTOR: �/I 1 Nt�1��K v�.�D�-fRA► �.�1�.g�l�,�- �'b _ PHONE: 4"7 4 9'-�''S� <br /> MATI�ING ADDRESS: �Oo � L�a�t.= 5 i _ CITY:�`=�[e�_5 �o�? ZIP:�� 'L� `3 l <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: MAV►v� V✓ov ^�-.1C'i►�,=D��J ��w►y PHONE: 9�jp � �d� - <br /> / <br /> MAILING ADDRI3SS: �?^ VI�L��I��l,.� �11�� CITY:�DI�1t,.�S ZIP: ���'f� <br /> N�: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration�_ Renovate Land Alteration � <br /> PROPOSED WORR (describe in detail) :Q� '- �!`.�c�lr3.� 5���i4� � - 0�1 �ac�t <br /> , ,�.� <br /> , ,� � � <br /> STORIES:___ SQ• FEET OF EACS FI+O�R: <br /> NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VAI�IIATION (eacluding land? : $ � � �� <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 aoproved plan. • <br /> DATE: l� <br /> APPLICANT'S SIGNATORE: - <br /> � ^� . <br />