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*_ <br /> CITY OF ORONO - b�J�LD�NG PER�iIT APPI,ICATION <br /> Total Fee: $ �, y� � � Date Received: <br /> Date Approved: <br /> �i>/� <br /> Entered By: u_ <br /> Permit,r. .:, �1C � <br /> ALL INFORMATION MIIST BS SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Encl.osed) <br /> -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O��1NER or CONTRACTOR <br /> JOB SITE ADDRSSS: �. �j� ��nr �� �l��l � ZIP: �jLj.� J5L <br /> C <br /> (work) <br /> NAME OF OWNER: l,c� � l,� �.�^CJ��LsZ��i PHONE: (home) <br /> MAILING ADDRESS: � �jC �G��'� l�%i._nx�_ CITY:�; t� � i� r'� ZIP: S 5 ��� <br /> CONTRACTOR: � i'i1 �V` � PH��' <br /> - � CITY: ( --; �� ZIP:��� 7 � <br />, MAILING ADDRESS: �7��C,> �YII�� -�J <br />� STATE LICENSE: #�� � � <br /> ARCHITECT/ENGINEER: pH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION ,ur <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> �[ � <br /> PROPOSED WORR (describe in detail) : j�� / / C�' �"-� L-� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � ,- C�� <br /> ESTIMATED CONSTRUCTION VALIIATION (excluding Iand) : $ ���� � <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 /> APPZICANT'S SIGNATIIRE: \ DATE:( � <br /> J; <br /> �1`� '� . . . . . <br />