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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: u. <br /> Permit,r. <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed} <br /> ------------------ <br /> THE APPLICANT IS: (circl.e one) WN CONTRACTOR <br /> 5 � � Pa� � e, � � 3� � <br /> JOB Sz� �D�SS: Lan c����� ZZP: .� J J <br /> (work) ��9 - � u �� <br /> NAME OF OWNER: 1 Q•-� Ttt�-S-��l PHONE: (home) `-�7 3 - �a�lS <br /> MAILING ADDRESS: �J � � !'� � ��'�- CITY: �C c�ria ZIP: 5� 3� lv <br /> CONTRACTOR: PH��' <br /> MATI�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: ,� <br /> ARCHITECT/ENGINEER: PH��' <br /> MAII,ZNG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration ✓ <br /> PROPOSED WORR (describe in detail) : �-2fYWv e. t�.,� ����,J A-nd �(`�SS l.-Jcx7� <br /> ta;�� ��n�a�e. a� � c�s s c.�,,_,� h��k� •-a-�� � �-Le �,�c� . �c�_ ��-ca,����.-�� <br />� �., � GL�L�-r�C A0.r'�1 ��-2 , <br /> -�-� �1'hs� .QS�C� ��- ' 1 IL2n� f S C� J�-L-^(�� �}--i�e <br /> STORIES: SQ. FEBT OF EACH FLO�R: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> �e��,�- de��e� - �;,�e +�re�s o� I��e.s�.o�e- `�. �u.� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 approved plan. � <br /> " �— �-�--(� <br /> APPLICANT'S SIGNATURL�: / DATE: o` <br /> . .. . _ . . . . . � <br />