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, � CITY OF ORONO - BIIILDING PERI�LZT APPLICATION <br /> �otal Fee: $ ��C'�� G� Date Received: <br /> Date Approved: <br /> Entered By: ' <br /> Permit�: � o� �`�� <br /> ALI� INFORMATION MIIST B$ SUBMITT� IN FIILL BEFORE PI,AN REVIEW WILI� B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPZICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: r 7 9� J.(rli'kJ,���� /`� ZIP' <br /> (work) <br /> NAI�: OF OWNER: � P�t-� V ��� PHONE: (home) <br /> MAILING ADDRESS: �7 '�/o �,�A-�L�-�-�� � �T�: ��^ ZIP: <br /> C��2� <br /> CONTRACTOR: \��-a.� �--�•� a �� a%� � � PsoxB: ��Z - 3 3 b 9 <br /> �LING ADDRSSS: 2�-4 3 ,�} ;�J� N U � CITY: �=r-�� Z=P: � � �3 <br /> STATS LIGENSE: � �'�"�3 <br /> �iRCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N�: RSGISTRATIOH � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration �r Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : j'i�0 �CS� j� � c� �-i.U.C�.g.S,, /tDD Z `"�' 1��r,�3 <br /> i� �� ' I`f�.,�o v�' � t�-w �i-C i..63 t�" r ►-� ���e-�m....�t I..�t.� Ch�$«��3 � L'� �izs <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGS STA7�.S: ATT. DET. <br /> m ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ f�--f�m ����� -- <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 will be in accordance with the approved plan. • <br /> � �� �-��- 9� <br /> APPLICANT'S SIGNATORE: DATE: <br /> � <br />