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_ � <br /> , CITY OF ORONO - BIIILDING PERMIT APPLIC�TION <br /> Total Fee: $ ��. % � Date Received: <br /> Date A�oroved: <br /> Entered By:�� " `�-3�/ <br /> Pe2�tit a: <br /> ALL INFORM�ITION MIIST B$ SIIBMITTSD IN FUL.L BEFORE PLAN REVIEW WILI. BB STARTED <br /> (See Check-off Li.st EncZosed) ' <br /> -------------------------------------------------------------------- <br /> T�E AppyICANT IS: (circle one) OWNER or CONTRACTOR <br /> " ��.�� 2p <br /> JOB SITE ADDRSSS: z�� � �C"E���'���� �E� ZIP: UV J ! � <br /> (work) <br /> N� OF OWPTEFt: '�1�C�C� F��a�2=��1� PHONE: (home) �.7 f ����� <br /> -SAII.ING ADDRESS: Z�7 [ S fsf�t��c� �t� ��: ���:Z�.� ZIP: �`�cS�� f _ <br /> CONTRI�CTOR: ��t`� -°J C'�c�� PHONE: ��Z� � Z�L�SE��,. <br /> %�rnTZING ADDRESS: � r7? ��t�FE'Fs��c�� �� CITY: t,,9-r�4�Zrt��i ZIP: c�S3� t <br /> STATS LICENSE: $ Z Z-� 3 <br /> ARCHITECT/ENGINEEFt: PHONE: <br /> ASAIZING ADDRSSS: CITY: ZIP: <br /> �A�: RBGISTRATION 4 <br /> °.Z'YPE OF WORR: New Addition Accessory Stsucture Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br />?ROPOSED WORR (describe in detail) : �f"1 t lE�C�L� O�c� ���S��� C^ <br /> 'TORSES: SQ. FEBT OF EACH FZOOR: <br /> -�. OF B�ROOMS: GARAGE STALZ�S: ATT. DET. <br />".STIMATED CONSTRIICTION VALIIATION (ezCludinq land) : $ � ,Q�v ' v`� <br /> hereby apply for a building permit and I acknowledqe that the informati.oa <br />:bave is ccmplete and accurate; that the work will be ia conformance with the <br />:rdinances and codes of the City and with the State Building Code; that I <br />:nderstand this is not a permit and work is not to start without a permit; and <br />:aat the work wil 1 be in accordance with the approved plan. . <br />►PPLICANT'S SIGNATQRE: Gi��G� DATE: �T�GCc �� 3 <br />