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' • . CITY OF ORONO - BIIILDI�G PERMIT APPLICATION <br /> Total Fee: $. "�1l. . �,Y Date Received: ��y�j �-, <br /> Date Approved: <br /> En-texed By:��/J <br /> Permit�: _ "S(c��, <br /> 7�T•T• INFORMATION MIIST B$ SIIBMITTSD IN FIII�L BEFORE PZ�N REVIEin1 WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER �or CONTRACTOR <br /> JOB sz� AnDx�ss: 5�� C�5 C � r:r ;z f� _ zzp: ��"5����. <br /> (work) �a ,�-/� SJ S C'c:; <br /> NAME OF OWN�R: � '1�ti���5 �' {�1 C� U't� �� ��;�,� K PHONE: (home} `-���� _�Z yT <br /> Ir1AILING 1�DDR.ESS: ���� L;�` �'U� � CITY: Lv'Y�C t-�`_ �'�-� ZIP: S 5 ��� <br /> CONTR�CTOR: �"�T �,= z ��5 PfiONE: S 3'��-i� 2�S <br /> MAILING ADDR.BSS: CITY= ZIP" <br /> STATS LICENSE: � <br /> ARCHI�ECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION A <br /> TYPE OF WORR: New Addition-�� Accessory Structure Niove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ,�L� <'��l r',� � �'�'� � ti���'�'-�� � ���'�e����`t <br /> ��.�'��n-�, � ��1� ��-�- <br /> STORIES:�_ SQ. FEBT OF EACH FLOOR: �`�-�� C' �� <br /> NO. OF BSDROOMS:�� GARAGE STAI.I.S: ATT. DET. � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ `-��', �''���' <br /> Z 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 /> that the work wil 1 be in accordance with the approved p lan. . <br /> APPI,ICANT'S SIGNATURE' =?,��^�. � ' �r"i.� � r�,;., �� ���( � � DATE: ��- !��-- � � <br /> � <br />