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.- � ' � CITY OF ORONO - BIIII,DING PERMIT APPI�ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: permittt: ���Y✓� � <br /> AT•T. INgpRMATION MIIST B$ S� Che�ckD-offFListBEn�Close� �I� �� B$ STARTED <br /> S <br /> ------------------------ <br /> TgE APPLICANT IS: (circle one) O��TNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ,'��`�� �`J�U�i�� -�+� - ZIP: -`�-S3y� <br /> (work) <br /> NAME OF OWNEK: Tl�-�Se PHONE: (home) <br /> MAILING ADDRESS: !�-1 y.s .S<��>✓/��� � 1f CITY: �(/ /� ZIP: .��5�.3`/�� <br /> CONTRACTOR: � � ��l�/ Sn • PHONE: y7� �� 5 <br /> i <br /> MAILING ADDRESS: ���`� /�G��hc>v� �j�� CITY: /�1(C� S�G'r ZIP: �.���� <br /> STATE LICENSE: # �-�C'�� � y <br /> ARCHITECT/ENGINEER: /�l/�� PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> N�ME_ REGISTRATION � <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> 1 <br /> PROPOSED WORR (describe in detail) : ���� <br /> STORIES: SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> (�i <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ✓�' ✓��� <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 accordance wi h the apprvved plan. <br /> � ��� / <br /> . � � � c DATE: �C ��� <br /> APPI.ICANT S SIGNATORE: iZC�Ge- <br /> . ._. .. . . . . . . . <br /> . I <br />