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� - CITY OF ORONO - BUILDING PERMIT APPI,ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: /0- /Z'Ci 3 <br /> Entered By: r�� <br /> Permit�: � <br /> AT•T• INFORMATION MDST B$ SIIBMITTED IN FULL BEFORE PLAN RE�7IEW WILL BE STARTED <br /> (See Check-aff List Encl.osed) <br /> ----------------------------- <br /> THE APPLICANT IS: (circle one) OG�7NER or CONTR.AC OR <br /> JOB SITE ADDRESS: L < �� � ';x��� � ZIP� ��J S _ <br /> (work) <br /> NAME OF OWNER: '�" ��'tS � �� �`r PH NE: (home) <br /> MAILING ADDRESS: � <br /> � cz�: C_.�J zzP:55^3— <br /> CONTR.ACTOR: L�5 PHONE: �G' I I�__�__— <br /> MAILZNG ADDRESS: <br /> � Z CITY: � ZIP: <br /> STATE LICENSE: ,����" <br /> ARCHITECT/ENGINEER: 1� <br /> ��-�S �11,L PHONE: � �[Z�5 _ <br /> n /�r � ZIP: � Z <br /> MAIZING ADDRESS: I b � t�lk '`��ITY: <br /> NAMF: C S REGISTFtATION # � 1-t - <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration�_ <br /> . � �� ��c��r �� <br /> PROPOSED WORR (describe in detail) . (� G S <br /> t � �O In�o�Q..s <br /> STORIES: SQ. FEET OF EACH FI+O�R= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ ��d� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and ac rate; that the work will be in conformance with the <br /> ordinances and codes o he Cit and w' th the State Building Code; that I <br /> understand this is not p i a d wor3c s ot to start without a permit; and <br /> that the work will be i a r n e with he app roved plan. <br /> DATE� l � !�� <br /> APPLICANT'S SIGNATURE: <br />