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s, � <br /> ' � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> i'otal Fee: $ �� � �� Date Received: /f 8`�j� <br /> Date Approved: /-l�-�� <br /> Entered By: � <br /> Permit�: '�/'c.� 7 <br /> ALL INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: 277(� S((,,,,�/�.�//��CY 1/Q ZIP: ����jrp <br /> t work)3yl • 59��' <br /> NAI�: OF OWNER: ��� �,�„�� PHONE: (home) � <br /> MAILING ADDRESS: 2��(� �LY_��1(��/ �� CITY: ��(�((� ZIP:��S�rjCp <br /> CONTRACTOR: (�N('(� ��-1L DC-�(L•I�l�_ � � Paor�:��'j -?'$Q$ <br /> MAII�ING ADDRESS: ((2� lsT- .�[' .�, cz�r: .�,k�P4VNS Z1P:�,��5� <br /> STAT$ LICENSE: # ��PV� �[�(Z `�((Z,c�7[ �► 11 !S.� A • <br /> _,.�T � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR.SSS: CITY: ZIP: <br /> NAI�= RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�- Renovate Land Alteration <br /> PROPOSED wo�zx (aescribe in aetai�) : ��F,� pF.� �p��,r��.T : <br /> .L���}.,.,�� I��ROOMT � ��,ni t AQ.�74� L.►�I�IU►� A�1�'A. 5'toQAG�Z� <br /> STORI$S:�_ SQ. FEST OF EACH FI�OOR: I��]q•5� <br /> NO. OF B$DROOMS:�_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATION (eacluding land) : $�a,� �— <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor}c 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 no a p m ' t and work is not to start without a permit; and <br /> that the work will be in acc r nce with the approved plan. <br /> APPLICANT'S SIGNATIIRE: � DATE: z, <br />