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, CITY OF ORONO - BIII1DING PERMIT APPLICATION <br /> C�, O�G Y <br /> _�tal Fee: $ J�" Date Received: <br /> Date Approved: <br /> Entered By: � (��` <br /> Perinit� _��` ��� <br />' �L INFORMATION MIIST BB SIIBMITT� IN FUI�L BEFORE PI�N REYIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ ----------------------------------------- <br /> THE APPI�ICANT IS: (circl.e one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: �7�� S!j�0lP�L�/I�� .D��UL� ZIP: �S� �� <br /> (work) �[J �i� <br /> NAME OF OWNER: / f�v[� �,/��1� PHONE: (home) `7 �'���� <br /> MATI,ING ADDRESS: lD S/S�O�L�� nL�� CITY:S�II�G !�<vl ZIP: S�S���� <br /> CONZ�2ACTOR: ,�i`� � PHONS: <br /> .'�I,ING ADDRBSS: CITY: ZIP: <br /> STATS LICENSE: u <br /> r3RCHI TE CT/ENGINffi�: PHONE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> N�: R.BGISTRATIOA F <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel./Alteration Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : /7PP/� �o y��Ds C��/V ��� <br /> ��R��D �7- �1���'� ��13 s�T� .r� ,g���� ���-�ti� <br /> �TORIBS: SQ. FEBT OF EACS FZOOR: <br /> �d0. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ <br /> = hereby apply for a building permit and I acknowledge that the information <br /> :bove 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.I be in accordance with the approved plan. <br /> �.PPLICANT'S SIGNATIIRE: � �1rv" `, rOCT 2 � 1��J DATE: ��Z��� <br />