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� � CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> - -� � _ <br /> Total Fee• $ `1l �/. y(� Date Received: v�` " %� � � <br /> Date Approved: <br /> Entered By: ,C"�h <br /> Permit#:� `/�f� <br /> AT•T• INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> �� � <br /> JOB SITE ADDR$SS: �C°' S 01 -' {'�^-t,�/��{.� �(,� ZIP: �-� ��� <br /> (work) <br /> NAML OF OWNER: ��U, 1?�( ?,(�,P Y'� V� �� ►'1._2; ����C� (�� PHONE: (home) <br /> r�zzNc �nx�ss: ��'� P�,����.,c�� /��'1, cz�: � ,� t �, zzP:��3�� <br /> CONTRACTOR: lf, � ._ ,^� p � t , ^�l�r S PHONE: �f b �� ���J <br /> � � � � �CITY: � �u,^'�� 'vd", '�,-'1 ZIP:S� `��1� <br /> MAII,ING ADDRESS:��b � na � r �E-� V��, J. <br /> STATE LICENSE: � O�: �� I 1 7 / <br /> ARCHITECT/ENGINEER: --- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition� Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> /, <br /> PROPOSED WORR (describe in detail) : ��✓ �`,/�1�'.�L Cni r � �--� R'�'-'� � <br /> /� f Ci��'���)✓t �� � `� 'S�+'✓`o �i ��(�t �' P I c) o��P �" /'�J J�,r, <br /> l ` <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. <br /> v v <br /> ESTIMATED CONSTRDCTION VALUATION (excluding land) : $ C � � `'� ' <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 c rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �`��� ��i' <br />