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� � CITY OF ORONO - BII�LDI�G PERMIT APPLICATION <br /> Total Fee• $��/ /I' _ Date Received: y-3► - �i � <br /> Date Approved: <br /> Entered By: � ,� <br /> Permit�: (�;���- <br /> ALI, INFORMATION MIIST BS SIIBMITTSD IN FUi�L BEFORE PI.AN REVIEW WII�L B$ STARZTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------- �� <br /> THE APPLICANT IS: (circl.e one) OWNER or �ONTRACTO� <br /> JOB SITE ADDRSSS: �!y� S�i�✓�h %�r ZIP: <br /> (work) <br /> NAML OF OWNER- ���j,� ��� /�e - PHONE: (home) y J 3 -S:�7 � <br /> MATI,ING ADDRESS: � <br /> lYS S�Iev�i"`'I .��' cITY: /�G��?�f� zIP: �=s3y/ <br /> CONTRACTOR: ��'�L z �U��r��v1 lS���r_ - PHONS: y7y'�,�C 5 <br /> MATLING ADDRESS: /�Q�/ �� � r��v� G`%r. CITY: �,r��N�s."ar ZIP: 5���/ <br /> STATE LICENSE: � /�J ,Q'i� 7 <br /> ARCHITECT/ENGINEER: �i>✓��d�r�nr PHONE: <br /> MATLING ADDRRSS: CITY: ZIP: <br /> N�,r� RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��,�/uc� Ex�.sfi���r c��c•� �� X/� � �"rrc! Ll'c'c� <br /> C?��i�^,� /O�x 1�� <br /> STORIES: SQ. FEBT OF EACH FLOOR: _ <br /> NO. OF BSDROOMS: GARAGS ST�LS: ATT. DET. <br /> r/ 4�- ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng la.nd) : $_��,�l� <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 /> �hat the work wil 1 be in accordance with t�e approv ed plan. • <br /> . � 4�' S <br /> SIGNATURE: � DATEs //� <br /> APPLICANT S � <br />