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' + CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � Date Received: /-�_3 - %S" <br /> Total Fee: $�,�'; .� � �.j ��� _ � <br /> Date Approved: <br /> Ea7tered By: � ��, <br /> ,�, Permit tt: �:= �>`f <br /> A7•T• INFORMATION MIIST Bg SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WII.L BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � �/`C� � ZIP: <br /> JOB SITE ADDRSSS: � 1 � !rl('� � <br /> ���S �S��'���� l�� �1����4. (work) �" ��� <br /> / <br /> NAME OF OWNER: � � � � . ����-. PHONE: (home) ��(v �S� <br /> MAILING ADDR.ESS: /� IT� �r �CI�: (/`�"��ft ZIP: <br /> CONTRACTOR: _>/ �C � � � �ll�j4��_ . PHONE: <br /> MAIZ,ING ADDRESS: �� �'7���TO�� CITY: C�'J�7� ZIP: <br /> STATS LICENSE: � ��� Z <br /> q'7�—�7 � <br /> A.RCHITECT/ENGINEER:�/r�.,�� `��'"t�r,����z PHo�: �T�- �T�� <br /> MAIZING A.DDRBSS: �� < ���/L/�T��� CITY: �t���� /� ZIP: <br /> N�: RBGISTRI�TION tt <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : o� �>��1 ��� • `�� <br /> STORISS: � SQ. FEET OF EACH FZ�OOR: / �f'' � �t'i'�--'Y��f�'L/ - <br /> NO. OF BSDROOMS:� GARAGB STAI.LS: ATT� DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � 7� �` C <br /> T_ 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 to start without a permit; and <br /> that the work will be in rdance with t proved plan. <br /> d . <br /> APPLICANT'S SIGNATORE: ��ti�1.. ,.C�C DATE: ! � / � ��� <br />