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� r� . <br /> CITY OF ORONO - BQILDING PERMIT A.PPLICATION <br /> � J . <br /> `� ` � `� Date Received: � �� - l � <br /> Total Fee: $ �� � <br /> c� �, <br /> Date Approved: �3 � � � �`Z '' <br /> Entered By: � - <br /> Permit�: �<��� ,� � <br /> ALL INFO�TION MIIST B$ SIIBMITTSD IN FDLL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �300 �v �d}�F11aUC' /Ut� ZIP= <br /> (work) 8�3-545� <br /> x� oF owxaz: (�rru �- �obir ��►2ourKe psorrE: (home) 4'75 b105 <br /> MAII,ING ADDR.ESS: IS(ob1 �D5'�- R[� CITY: L�QUZC�.Tu ZIP% S�J�tI <br /> CONTR�CTOR: �J;v e r si�i�,� C'�u� Id�nG �u.S+em� Paox$: G Z� - 7 23 � <br /> MAII�ING ADDR$SS: ?D I D ►�iah��au 7 CI�: �- �-D�cis �xrK ZIP: 55�a� <br /> � <br /> STATS I,ICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : Po le hG�r n <br /> STORISS: I SQ. FEBT OF EACH FZOOR: ,�jOO O <br /> NO. OF B�DROOMS: GARAGS STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ?0,00� <br /> I hereby apply for a building permit and I acknowl.edge 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 wvrk will be in accordance with the approved plan. . . <br /> APPLICANT'S SIGNATURE:��IYr\`�l •��� DATE: o�-/l.l l�� <br />