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t � <br /> - CITY OF ORONO - BIIILDING PF•RM_ZT APPLICATION <br /> . / <br /> Total Fee: $ � �` � J Date Received:� ' �o�- � 3 <br /> Date Approved: <br /> Entered By: '� �/ /� S� <br /> Permit#: / � <br /> ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (cirqle one) OWNER o CONT�.T.Q$7 <br /> h/aJ�rrC �,r�O�"' <br /> JOB SITE ADDR$SS: ���, 5�'1��� "I I n L I�r'i ZIP: ,sS3�v� <br /> (work) �l'11- �gO O <br /> NAI�3 OF OWNER: 5�'e�v C 0 r'� pHONE: (home) �7� ySSS <br /> P3AII�ING ADDRESS: y�as �,Jtl��i� CITY: / ' �Ot,�•r�c� ZIP: �SSG� <br /> cox�c�roR: rl i k� L.Q� ��or• p$oxs: 4/7�-�h939 <br /> MATzirr� Annx�ss: �-l�y o VUoc--�-1, S'1.��� Q�, ci�r: (''lo�.� d zip: 5 S���l <br /> STATE LICENSE: #�� <br /> BRCHITECT/ENGINEER: /'!�O/�f,� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�: RBGISTR�iTION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � JC a�� W a-� ��- t�^ G oo�t� l�c��'�n <br /> � <br /> l-+� b`1`'�� a�"�'�'ioe� .,�i�'i�. °�v Oe�� d.�.►v °? ;z���' 0��: �_ ���-�w, �'r� L)�.�r-- <br /> STORI$S: SQ. FE$T OF EACH FLOOR: <br /> NO. OF B�ROOMS: GARAGE STAr�.S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclndi.ng 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 will be in accord c 'th the approved plan. • <br /> APPI�ICANT'S SIGNATORE: DATE�j� ' (J <br />