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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ �'�� �.�� Date Received: �- - u7� " y-S <br /> f Date Approved• <br /> Entered By: � ��� a, ,... <br /> Permit n. �/ ..Z C� <br /> ALL INFORMATION MIIST B$ SDBMITT� IN FULL BEFORE PI�N REVIEW WILL BB STAR�ED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or COiQ'I'�= <br /> JOB SITE ADDRSSS: ,�(��� �r��I/� U�� �'�' �✓C�` ZIP: <br /> �r�—_. <br /> (work) <br /> N� OF OWNER: ��'.�.0 '�` � i`vt.-UGc_ �� c:ce�� �-`� PHONE: (home) �`-�c( - `���� <br /> MAILING ADDR.ESS: ���7 S �< <��� J��'�`''� �i'CITY: ��'e�t�G ZIP: <br /> i%�(� _ �'�-�4'�� <br /> CONTRACTOR: � �-�-,��.�R--- �CJa--�•�-�- C-C�� `� PHONE: �(Q `� ' c�S� � <br /> 1 \ <br /> MATLING ADDRESS: ��-j � ' W�.`�`-"�_ �-✓t.,���- d��-CITY: � �c_l.-�.; -�-�t! ZIP; rj��2 v�_ <br /> .�� ,�— .s <br /> STATS LICENSE: $ <br /> �ItCHITECT�LPIGINEER: �%v� `�� PH�NE: <br /> MAIZING ADDRSSS: CITY: ZIP:— <br /> N�: RBGISTRATION A <br /> TY'PE OF WORK: New Addition Accessory Struczure .x Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : `�r-�-�}�e � �-r�o_` --4-'c� �`"`-`-��"`- <br /> .���,`._-�'l �' c:II—('cc..r <br /> STORIES: SQ. FEBT OF EACH FI,OOR: (( � <br /> �JO. OF BSDROOMS: CARAG$ ST�LLS: ATT. DET. <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �{��,� — <br /> � hereby apply for a buiiding permit and I acknowledge that the information <br /> above is complete and accurate; that the work wi11 be in conformance with the <br /> :�rdinances 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 the approved plan. � <br /> �..PPLICANT'S SIGNATIIRE: �— ` DATE: �o '",�� ` �S <br />