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e <br /> A ` w' CITY OF ORONO - BIIII.DING PERMIT APPLICATION <br /> Totai Fee: $ ��, '7�' Date Received: <br /> Date Approved: <br /> �ntered By: '.,C� - <br /> Permit�:�� .�� <br /> ALI� INFORMATION MIIST BS SIIBMITTBD IN FULL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �b� Cv� � � ZIP: ��3S� <br /> (work) SZ� -43�Z- <br /> N� OF OWNER: n�A-u� �st-(oA�C� PHONE: (home) 4�S'[oZ'L <br /> NATLING ADDRESS: �JZ(os �.� (,o _ CITY: p ZIP: SS3� <br /> CONTRACTOR: PHONS: <br /> MAII.ING ADDEt$SS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEIIt: PHONE: <br /> MATZING ADDRESS: CITY: ZIP: <br /> �A�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe i.n detail) : �'c..cQ,.� J� ��� `r��r✓ i.Jrti �A-'►�� <br /> �1 <br /> STORISS:_�G SQ. FEBT OF EACS FLOOR: <br /> �TO. OF BBDROOMS: G�GS STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALIIATION (eaclnding land) : $ [�,SD� ==- <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 /> ardinances and codes of the City and with the State Buil.ding Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATORE: DATE: /o 3f '�t <br />