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' ' � CITY OF ORONO - BUILDING PERM_.IT APPLICATION <br /> Tota1 Fee: $ ;�.'? '/`� Date Received: 7 -�� � �--) <br /> Date Approved: <br /> Entered By: ��"jv _ <br /> Permit tt: .C�t, �, <br /> AI�L INFORMATION MIIST BE SIIBMITTSD IN FDLL BEFORE PI,AN REVIEW WILL Bg STARTLD <br /> {See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: �c3 (p� ��c5� f�. C C2.Gc,c= ZIP: �c��� <br /> (work) <br /> N�ME OF OWNER: k7t��Tl t� t��t c= S PHONE: (horae) <br /> MATLING �Dx.Ess: 13C� r2c�S� ��. cce. _ cz�: (`�gc��v c7 zlp:JJ�Co�l-- <br /> CONTRACTOR: �('f c=��S C.0�9a'i PHONS: ��1 �7UO�p <br /> �+iAILING ADDRESS: zI�Z7 c5G-fr�uVl?�9Ot� �t� CITY: �/�`.'��fi. ZIP:�� 3� r <br /> STATS LICENSE: � Z z 3 � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAME: RBGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Mave <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Qc=("'fC9c7 ('1�'tt�� � �T t3/`�?E-l.s <br /> �w ��x� r�o 2�t�t� � �-�A�3 t N�S <br /> STORISS: SQ. FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: G�G$ STAI.I�S: ATT. DET. <br /> . ,- �p ` <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ c�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 /> tnat the work wil 1 be in accordance with the approved plan. <br /> APPI,ICANT'S SIGNATORE: �%�r� � DATE: � �C� � 3 <br />