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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> /a �• � � Date Received: <br /> Date Approved: <br /> Entered By: ` <br /> Permit�: �%�� <br /> AI�T, INgpRMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN REVIL�Tn1 WI7�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- <br /> TgE APpLICANT IS: (circle one) 0�+1NER or N RACTOR <br /> JOB SITE ADDRSSS: Sd � ���� L/�'� ZIP: <br /> (work) <br /> NAML OF OWNER: Cie t"��J'✓ .s/��7�� PHONE: (home) <br /> MAII,ING ADDRESS: S� 7 ���� G� CITY: Lo�G- L/�� ZIP: <br /> �`Z�Z <br /> CONTRACTOR: /V �✓ D�iG�t/S oF /�9/NNFTai✓/�� i�'.p$orrE: �i 7�—� <br /> MAILZNG ADDRBSS: � �3 6 /I� Sya��_ �� CITY: �'� a vND ZIP: SS��� <br /> STATE LICENSE: # ��`-- ��� <br /> __._ <br /> ARCHITECT/ENGINEER: -r�~- PHONE: <br /> MAILING ADDRESS: �---�._..�-- CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo� Remodel/Alteration�- Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �Q��Q//� ��� x��E �"��GGS � ���L� <br /> b�l� �LLr�I �r✓�'J��G y T�Y► � NSTi9LG /kE".� ��S.S �//rr/�o�r/ <br /> 7--v QvTS iv� <br /> .-.---______ <br /> ..-----------.. <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcludi.ng land) : $ ��SD <br /> 00 <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 approved plan. • <br /> APPLICANT'S SIGNATURE: <br /> �P'� �'%y4ii�-�--J� DATE: �—��� <br />