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CITY OF ORONO - BUILDING PER�''�iIT APPLICATIQN <br /> • . - <br /> Total Fee: $ ~ Date Received: <br /> Date Approved: <br /> Entered By: Permittt: ����. <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFORE PI�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------- <br /> THE APPLICANT IS: (circle one) O�+TNER or CONTRACTOR <br /> JOB SITE ADDRSSS: c, C� v �0.��,\-Q_�'1 (.��OGC� �Cx7C`� ZIP: �.�'��� <br /> (work) <br /> NAML OF OWNER: _�� 5���� �^�a�- PHONE: (home) �l ` g�� � <br /> MAII�ING ADDRESS: � � � �G��-Q�l�"L"`� +��` CITY: �O YIC� ZIP: �jC���(� <br /> CONTRACTOR: G�.�C� ' � 1 f1 PHONE: ����', �loZ� <br /> IyAII�ING ADDRESS: ��JO � ; o - CITY: i 1 ��� (1��x.cl)���c_S ZIP: �`�Z-d <br /> STATE LICENSE: � �O� I �� <br /> ARCHITECT/ENGINEER: P���' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�ME: R.EGIS7.�2ATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �t�A�c;�,� ��� � ��� � �r � <br /> o.. d� � o�w.a,o�.�j 1�L�1� vJ s�ln � t l«e �a�c.� �L o`' <br /> �c�o.� �h; n�Ls�.� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI.I.S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ � �� , �d� •vU <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 wil 1 be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATIIRE: DATE: �"�-`�J`�� <br />