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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $������ �U Date Received: <br /> Date Approved: <br /> Entered By: �L-fj,• <br /> Permit�: `)�//% <br /> AT•7• INFORM�TION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-aff List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> 2'HE A.PPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �� 3� YUo`�u` � �,� �r� ZIP:� '� ,� ��� <br /> (work) ��•1 G�r_. t'�; �;� <br /> , t �, <br /> NAME OF OWNER:��� ��Vr+ �� � ' PHONE: (home)„��,� �f�C�E'`; <br /> MAILING ADDRESS: 2 i ,�- , + CITY: �`�� )�t.�!""►(,� ZIP: S�`�f .� �:� �/ <br /> CONTRACTOR: �! / ? �` � ; •� , - PHONS: �� � °fy 7 ; <br /> s�-•d i <br /> CITY: :�' � i : ,: r�ZIP: ., . , <br /> MAILING ADDRESS: �,�� � �; i , ; � � �.:��� � <br /> STATS LICENSE: � <br /> ARCHITECT/ENGIN�: PHONE: � %= . <br /> :�SAII,ING ADDRBSS: ���! 1 � ," '1 CITY: . ZIP: <br /> N�: RBGISTRATION � ; <br /> TYPE OF WORK: New Addition_� Accessory Strncture Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> i � a.< � <br /> PROPOSF.D WORK (describe in detail) :� V`� _ � ` �� <br /> i r�;, <br /> �N ` •ti � 4.l 1 r <br /> STORIES: SQ. FEBT OF EACH FLOOR: ��� �� <br /> NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �( ` . " <br /> I hereby appl.y 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 worJc wiI 1 be in accordance with the approved plan. <br /> V <br /> APtZ,ICANT'S SIGNATURE: � ' -l'�-� \ DATE: "_ � � r <br />