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� " �� CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> Totai Fee: $ ?f.T%, ��'} � ' Date Received: <br /> , <br /> Date Approved: _ <br /> Entered By: � !'��=� _ <br /> Permit�: � %`�� <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN REVIEW WII,L BB STARTBD <br /> (See Check-off List Enclosed} <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRAC^_'OR <br /> JOB sITE ADDx.$ss: 1 (�� �►�+c! o d, zIP: S53c'! I <br /> (work) <br /> NAMI: OF OWNER: �bDE2"'�-- � �'�v °�'��JSO� PHONE: (home) �'7 � '����p <br /> I�SAII,ING ADDRESS: Sp w� � _ <br /> CITY: ��' O�C`� ZIP: <br /> �A.I3� Gar.nMc,2c��L -►���s��t�-�-.�n.t � ��...�oJ �L��S S �r2vtct-Z <br /> cox�cTox: � c� �n � vs-r-a�so� Pgox$: �4- Z��.'� <br /> MAILING ADDR.ESS: � �3�$ �'EV'E�� �U� CITY��cr�w.,,-,r�,�. ZIP: t-,'S42_C� <br /> c;:r,, �: <br /> STATS LICENSE: � �� 1 ��a- . C'����,� �� �i��S. �r�''��� <br /> A.RCHI`I'ECT/ENGINE�R: PHONE: <br /> !iAILING ADDRSSS: CITY: ZlP: <br /> ���: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> �ROPOSED WORK (describe in detail) : ����-1r1�,J �c�o�E� -� ' �'�`� � �- - <br /> �-� ��� .� -� �� �io�,�C ��.g��� ���'w � l.� <br /> STORZBS:�_ SQ. FERT OF EACH FZOOR: 1 o'r-�� - <br /> NO. OF BEDROOMS: � _ GARAGS STALLS: ATT.� DET.�_ <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding Iand) : $���o O o � <br /> = hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work wi11 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 /> r_PPLICANT'S SIGNATQRE: DA1TE: �� a� � <br />