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� �� <br /> CITY OF ORONO - BUILDING PER�iIT APPI,ICATION <br /> Total Fee: $ Date Received: ��//�l�-z-- <br /> Date Approved: <br /> Entered By: � Permit�: --�', '�!� <br /> AI,L INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFORE PLAN RE�7IEW WILI� B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------ �� <br /> --------- ------------------------------------------- <br /> THE APPLICANT IS: (circle ane) /%OP7NER or CONTRACTOR <br /> �—�! <br /> JOB SITE ADDRSSS: ���5 �/���L//`�aE: ��/U� �t�'ZIP:�� �3 / 02 <br /> (work)� 3J S��c_:� <br /> t../�,1:r��y Z� N fti� ��S'' � Sc� �/L'�G„ PHONE: (home) <br /> N� OF OWNER: �' <br /> MAILING ADDRESS: CITY: �J y6- ZIP: <br /> �3/� ���L}�� <br /> ��: 12�c% c.e�Ga� PHor�: �r�i �s���� <br /> - ,��;�,�� �- -� ci�: ,�1��� � � zzP:��3 <br /> MAII,ING ADDRESS: ���J� •Sf�C��L%/�� 1��� <br />� STATE LICENSE: # <br /> ARCHZTECT/ENGINEER: p$��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�ME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �[�Zi �✓,/�-L� "�� ����' � T <br /> c��' �G�t,�yy) j�� - `1.,� �G ���- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land? : $ <br /> S�G-y�� <br />. I hereby apply for a b�r-'r�d-��g permit and Z 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 a�d with the State Building Code; that I <br /> understand this is not a perm n work is not to start without a permit; and <br /> that the work will be in ac rda with the approved plan. <br /> �` <br /> APPI,ICANT'S SIGNATDRE: �' C DATE: / � /S <br />