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t CITY OF ORONO - BOIZDING PERMIT APPLICATION <br /> Total Fee: $ ���./C' Date Received: <br /> Date Approved: <br /> Entered By:���-, Permit�: (r,-�/`� <br /> ALL INFORMATION MIIST BE SIIBMITTSD ,IN FIILL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -�._ <br /> THE A.PPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDR$SS: y� „� C� � O 1�1��C ZIP: � � .7,�fj <br /> (work) <br /> N�ML OF OWNER: �i �o�g�u T r PH�NE: (home) ��G ��c�3 <br /> MAILING ADDRESS: y�r a � ���. YSc��� CITY: � rv� � ZIP: ,�, S .�_S G <br /> CONTRACTOR: S �,� L F'$��� <br /> MAIZING ADDRESS: I CITY: ZIP: <br /> STATS LICENSE: $ <br /> ARCHITECT/ENGINEER: � PHONE: <br /> MAILING ADDRBSS: l` ; CITY: ZIP: <br /> ,. : <br /> Np,�: ' RSGISTRATION � <br /> TYPE OF WORR: New 1� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> < <br /> PROPOSF.D WORK (describe in detail) : � L ! ��- ��� � - c <br /> Q � �� � � <br /> STORI$S:�_ SQ. FEBT OF EACH FLOOR: �`f�� 2-G �C Z�S 7 Z� SS � <br /> NO. OF B$DROOMS: GARAGS STALLS: ATT. DET. <br /> ESTI1rSATED CONSTRIICTION VALIIATION (eacluding Iand) : $ I _3 E�� CG , � � — <br /> I hereby appl.y 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 plan. • <br /> APPLICANT'S SI6NATDRE: �� DA�: I � r <br />