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' ��'" CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ '.�';/ °�� Date Received: <br /> Date Approved: <br /> Entered By: � %'/ <br /> PermitR. 'i�� <br /> AIaL INFORMATION MIIST BS SIIBMITT� IN FIII�L BEFORE PLAN REVIEW WI7�L B$ STAR�F,D <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ' �4b L-r���-�c /�� ZIP: <br /> (work) <br /> N�ME OF OWNER: i �ue y ����ea PHONE: (home) 41�"( -��f�� <br /> �SAILING ADDR.ESS: {Z�G�.S ���/��-+�. /Uc CITY: ��p,�,.a�, _ ZIP: <br /> CONTRACTOR: �r'�ILQ�J �,�S+�vU-r�o-v Ca�P,t,.s:I PHONS: 6�!-�G�- -S3� <br /> �IAILING ADDRESS: �-r- .'�"' 4-���.c 38S CITY: � 5.�,.r�-� _ ZIP: SSG4G <br /> STATS LICENSE: � U a�a 24GGG. <br /> ARCHITECT/ENGINEER: -rHa ����L.. �2G�[�7"<:G?�J,�J` PHONE: GZS -3 �9 � <br /> MAILING ADDRBSS: CITY: �f'L5. ZIP: <br /> N�: /r/��-,-/-� � � �.,�cJz RBGISTRATION � <br /> TYPE OF WORR: New Addition K Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � � S c; �r-� �o�c�r Q�A-GNc�E� "T�' <br /> 1-I ouS t= C�F'�fi �!3 P_.,,�fe. v N C�rs'T/1 G '�A--t!o <br /> STORIES: � SQ. FEBT OF EACH FLOOR: ?U S� - <br /> NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> _ � <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ►4�aQ . <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 /> �hat the work will be in ance with the approved plan. � <br /> APPI�ICANT'S SIGNATDRE: _/� DATE: �llZ1`j� <br />