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� CITY OF ORONO - BIIILDING PER2LIT APPLICATION <br /> : <br /> Total Fee: $ ,�S �' J �1 _ Date Received: i� /� -ys <br /> Date P_pproved: <br /> Entered By: � ,�..�.� A. `�nY1"- <br /> P ermi t,r. <br /> ALL INFORMATION MIIST B$ SIIBMIZ'�� IN FOI�L BEFORE PI.AN REVIEW WILZ B$ STAR�ED <br /> ( See Check-off List Enclosed) <br /> ---------------------------------- --=�----------------------------------------- <br /> Z'HE APPLICANT IS: (circle one) iOWNER' or CONTRACTOR <br /> _, , <br /> � �- �,fi�(.-t ���� L��1��� ZIP: �� � �����"�i <br /> Jos sz� x��x$ss: �����������. E_�����;��;�-ll ���� . �� � <br /> � <br /> ( �'CG�,� (work) -�i;�-,���♦;J. <br /> N� OF OWNER: `,I��rl�'����� „���1 `yaY�� ����� ��' ;�.�'�� PHONE: (home) '=�-�W-���� <br /> 7'-'_—_, <br /> MATLING ADDRESS: ' --,� ���1����1,; ��C�' CITY: ��;��.��'�i� ZIP: ti^ ..,?I <br /> CONTRACTOR: I� � PHONE: <br /> MATZING ADDRESS: CIZ7: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT�ENGINEER: ���:I�Lll l,��� �.a G�I'C�C�C� � � PHONE: <br /> MAIZING ADDR$SS: CITY: ZIP: <br /> p�p�g: R.BGISTRATSON tt <br /> i <br /> TYPE OF WORK: New �I Addition Accessory Strncture Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PxoPos� wo�zx (aes�ribe in aetail) : ��11��ll"�� �� � � ���' ����t������-' �la����.1�'� <br /> � �X ;;�� — <br /> , % �� % <br /> STORI$S: � SQ. FE$T OF EACH FZOOR: -� � - <br /> . ' / <br /> NO. OF BSDROOMS: ,;' GARAGB ST�LS: ATT. DET. '✓ <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ ,���`�-�- <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 ac ordance with the approved plan. � <br /> - � ;i i <br /> APPLICANT'S SIGNA - __ _ �, '� -,,-..--��� / �� "� ' � ����� DATE: u ��� �L � �� <br />