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�� <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � � <br /> Total Fee- $ /� / � `, Date Received: �c/�.3/��-- <br /> Date Approved: <br /> yntered By: � <br /> Permit�: <br /> nr•T• INFORMATION MIIST BS SUBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER o �CONTRACTOR� <br /> ` <br /> JOB SITE ADDRSSS: �1.35 �Sh�v��v� �r ZIP: S_S3g/ <br /> (work) <br /> NAME OF OWNER: CrKi,� �Q Y�v� PHONE: (home) y�� `/7��' <br /> / ' zIP: SS-39/ <br /> MAILING ADDRESS: �/35 Shtv/%� ,C?�. C=�'_��Z��� <br /> CONTRACTOR: �V��tC e_ � c% C���r PHOISS: �f 7 Y' l�'',��� <br /> MAILING ADDRESS: /) � �' �� %�:' !f,,��/ �s�/. CITY:�'cz��s�v�'' ZIP: ,S_S-,��/ <br /> STATS LICENSE: � f,Q�y 7 <br /> ��������� / ' PHONE: <br /> "�l'uC` e G��r•�r�i �;/,1�. <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WOR.R: New Addition Accessory Strncture Move <br /> Demo Remodel/Alteration ( Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : t����cr �xisr �a d« �( ( J �%sts��z�•���h�J, rU_ ;�%�,.SfT� <br /> 1f��3��X�-l . h�r����„����� To �°x;,s�i�a� ��cc� S� z� v7-� %f�X/v ,3�i . , l4'�Y i=�� ' - <br /> STORIES: SQ. FEBT OF EACH FI�OOR: <br /> NO. OF BHDROOMS: GARAGE ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ `��, �U� L�� <br /> I hereby appl.y 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 wiI 1 be in accordance with the approved p lan. , • <br /> APPLICANT'S SIGNATDRE: ., ^ ��..,,-- DATE: ii �S_ <br />