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• • CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $J��. ��� Date Received: �1 �" `� � <br /> Date Approved: <br /> Entered By: ,(',�L/ _ <br /> Permit#: �.��}�i <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILZ BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ �-------------------------- <br /> THE APPLZCANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: �� � � %'I , �� 3�% ' / /'� ZIP: � � <br /> � <br /> 4 <br /> � / J , <br /> �WOY'i:� i � �' G � <br /> /� �" �-% <br /> NAI� OF OWNER: ��/t/l v/ C���!i��5���� _ PHONE: (home) � �� �1��' � <br /> MAILING ADDRESS: ' �� 1`/ ,� / ���_ � CITY: . , ,- •,� ZIP: � - . <br /> CONTRACTOR: d C-�i ^/ e�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHI TECT/ENGINEER: U�-��'�`i ;"'�r/-_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: _ <br /> NAME: REGISTRATION tt <br /> TYPE �3F WORR: New Addition Accessory Structure � blove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � �� � �'���`�` =� �'�� �^ <br /> -�'� G,� ✓��J � � r) z-c�;�- Qv� -f,� ,-� <br /> � <br /> STORIES: � SQ. FE$T OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET.� <br /> ESTIIKATED CONSTRIICTION VALIIATION (egcluding 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 ac ordanc i the approved plan. � <br /> . <br /> APPI,ICANT'S SIGNATDRE: ` DATE: /��'' " ,- _ . • .v <br /> ._. .. .._ . _ _ _. . <br /> �s�-P ' �`�� <br />