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� � CITY OF ORONO - BIIIZDING PERI�LIT APPLICATION <br /> Y <br /> Total k ee: $ i�/5 �v� Date Received: <br /> Date Approved: <br /> Entered By: � ���-�-� � <br /> Permit�: '� � `���. <br /> AI�L INFORMATION MIIST BE SDBMZTT� IN FULL BEFORE PI,AN REVIEW WILL B$ STAR�EU <br /> (See Check-off List Enclosed) <br /> ----------------------------------- ------------------------------------ <br /> THE A.PPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRSSS:�,�(J� !�f�i �/ � �-� ZIP: j S��a <br /> (work) y�?��S/ 7 <br /> NAME OF OWNER: � �-1 �_ K �tjl'��i�'�-� PHONE: (home) �,��-��a�U <br /> MAII,ING ADDR.ESS: 1��L� ,�� SA �r" 1.,� cz�: )'`�fer�.-►�i�,M ,�� zzP: SS3�. � <br /> CONTRI�CTOR: �U��'" PHON$: <br /> MATLING ADDR.ESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGSNEER: ��f}- PHONE: <br /> MAILIN6 ADDP,.$SS: CITY: ZIP: <br /> g�: RSGISTRATION � <br /> TYPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> � � , `� (/0 �— 9 ' � <br /> PROPOSF.D WORR (describe in detail) : �' '�"� � � �v � �L <br /> l�1-� i.J f S i ���c �•� I� �.r`S� <br /> STORI�S: SQ. FEST OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGS ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ 3 y(,?CJ� V""-" <br /> T 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 2 <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 e oved plan. <br /> � � <br /> APPLICANT'S SIGNATURE: �'� DATE: /� �� <br />