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CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> . � -- Z z-�� <br /> Total Fee• $ '�is�1�.�C% Date Received: � <br /> Date Approved: <br /> yntered By: ',f`",�� � (� ti;� <br /> Permit�:�.;��' (� J <br /> ALI, INFORMATION MIIST B$ SIIBMITT� IN FOLL BEFORE PLAN REVIEFI WII�L B$ STAR�ED <br /> (See Check-off List Enclosed} <br /> -------------------------- <br /> T� APPLICANT ZS: (circle one) OWNER o CONTRACTO <br /> � . � � I. I <br /> JOB SITE ADDRSSS: �i�ZS ��l N�-� ��'�� ZIP. <br /> (work) <br /> NAME OF OWNER: �����.f' T��'`�`�1� PHONE: (home)�7�-�Z� <br /> 1+�ATZ�ING ADDRESS: �? 2� f��l►'v��� . CITY: �►�a^�� ZIP: Sj� , <br /> � py �6a -«�s���� �s� <br /> CONTF2�CTOR: l ���15 V v�-S�� PHON$: <br /> -�/A 2 `� <br /> �+►�ILING ADDRESS: �� �`�� �� CITY: ►" ' ` ` � t ZIP: �J�J <br /> STATS I.ICENSE: � � ��2-� �v 1 Z� I <br /> ARCHITECT/ENGINEER: �-�`���-- PHONE: <br /> ;iAILING ADDR$SS: CITY: ZIP: <br /> g�: RRGISTRATION tt <br /> 2'YPE OF WORR: New� Addition Accessory Structure,� Move <br /> Demo Remodel./Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : l�-L� � -t P�-���� �y� ����S �u�� <br />�s`��G- V C. M��"t 1✓� � ��T-, CD�r�ve i�. r'Y��f'1.►-t� N6i`zS �..� <br /> (pb � I ZZ� ( I/K-��x • <br /> STORSES: SQ. FEBT OF EACH FLOO12: � <br /> RO. OF BBDROOMS: GARAG$ STAI.LS: ATT. DET. <br /> flb ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ Z����� <br /> = hereby apply for a building permit and I acknowledge that the information <br /> :bove is complete and accurate; that the work will be in conformance with the <br /> ardinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and wo k is not to start without a permit; and <br /> that the work will be ' wi the approved plan. • <br /> A�PLICANT'S SIGNATIIRE: DATE: v��_I 1 <br />