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� CITY OF ORONO - BUILDING PERMI� APPLICATION <br /> , ' + � <br /> ) �, � _ �� <br /> Total Fee: $ / �� � �� Date Received: 7 <br /> --� <br /> Date Approved: <br /> Entered By: f�(�'� /� � <br /> Permit#: %-� �� <br /> ALL INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O�VNER or CONTRACTOR <br /> JOB SITE ADDR$SS: � ►C� ����,�.I��' ('�n ZIP: <br /> (work)'�z,1•��Lq� <br /> NA1�4? OF OWNER: �j��� �1�C��LI�S R PHONE: (h ome) <br /> MAILING ADDRESS:�� �,t'a����,�IC7�1/� CITY: C�t�{�`7 ZIP: <br /> CONTRACTOR: vS ��'QS�� COk``�"T�E-�T� PHONE: ���`� <br /> MAILING ADDRESS: '� O ��C �S�L_ CITY:(',IPLI��f� ZIP:�Sp��_ <br /> STATE LICENSE: # <br /> � �� r,�,.. PHONE: .L�ZO Z� <br /> A.RCHITECT/ENGINEER: �.�-�� '� , �a `J�, _--�-r <br /> MAILING ADDRESS:�1�p �ll'Z`� I�;I�-• � • �I�'Y: �,�ty7 _ ZIP: C,�jC[p1 <br /> p�g: G�-�� L��[ REGISTRATION # <br /> TYPE OF WORR: New Addition� Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :�,�,��'1c";w� �"�►2 C,/����A.'DQITl � d►`' - <br /> _C_'`.�� S'CCYQ� .�At✓�tl.'� 'Q�'7N1��h /�� �.1�2�C Ft' 1�TG'51�� ����i, <br /> � <br /> STORIES: �L. SQ. FEET OF EACH FLOOR O � Sf l� �� �- � <br /> NO. OF BEDROOMS:_�1.�Eu) GARAGE STALLS: ATT.� DET. <br /> 2 C�x�sT���,� <br /> �STIMATED CONSTRIICTION VAL��TI�N (ezcludinS land) : $ C7 <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 nd with the State Building Code; that I <br /> understand this is not a per it and work is not to start without a permit; and <br /> that the work will be in acc nce with the approved plan. � <br /> � <br /> / �' <br /> APPLICANT'S SIGNATT�RE: � DATE:� •h •�'Z <br />