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� ' CITY OF ORONO - BIIILDING PERM.IT APPLICATION <br /> To�al Fee: $ Date Received: ��C�� %� <br /> Date Approved: <br /> Entered By: � <br /> Permit�: <br /> AI�L INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI�N REVIEW WII�L Bg STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------=_—=e------------------- <br /> THE APPLICANT IS: (circle one) OWNER orc�ONTRA�Q&% <br /> JOB SITE ADDRSSS: ? � ""� � >i5�c�/c� ��s�� �%:/' ZIP: _� S' I/ <br /> (work) �/7/ - �y,��, <br /> N� OF OWNER:�-��-��i�c-���i��C���'r� �-1���rc-� PHONE: (home) %7/ ��/�.� <br /> MAILING ADDRESS: ��yj`�� �.�v✓'� �n� � CI�: ZIP: 5��,.5�'� <br /> �,�'�" ,�,..-,t ,,�faa,r <br /> CONTRACTOR: �U/4� ��r� �`��a�l�� PHONE: ��o� "/az�S� <br /> MATI�ING ADDRESS: �i��� <."�]'/T� „�G� CITY: i��vL�� ZIP: .��� � <br /> STATS LICLNSE: � �'S�S <br /> ARCHITECT/ENGINEIIZ: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration L�-�-'"f Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ��y»O ciC �'i5�� ��v�L� ��'"� <br /> �rat•e'r �c� � G•-�-c� /��ld F �c'�or» c�..-:�G'/'"�'.���►�� E'�'`�z.� ��f`i�, <br /> l Ec���� <br /> �r:��f-- / . <br /> STORIES: SQ. FEST OF EACH FZ�OOR: <br /> NO. OF BSDROOMS: CARAGB STA�I�S: ATT. DET. <br /> �' � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ ��C���� <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 with the approved plan. <br /> ,�/� � � � <br /> T'S SIGNATDRE: �/ -Clz� _�/� DATE: s- �'- � � <br /> APPLICAN - <br />