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� - � - <br /> CITY OF ORONO - BUII.DING PE.RMIT A.PPI�ICATION <br /> Total Fee: $ -3 � vy� -� Date P.eceived: +_ <br /> Date Approved: <br /> Entered By: � .r�,Qifl ,, dZ <br /> Permit tt: t �p 0 <br /> y� <br /> AT•T• INFORM.ATION MIIST BE SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WI7�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: --��"1�� !� �'����'��� `' �C�-� �- ��<"\�� ZIP: �! � � � <br /> (work) <br /> NAML OF OWN�R- �� < � ��-" C�'��=�''��, ��---�.�'1 �{`,r`�` � PHONE: (home) <br /> '�� <br /> �iAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR- �� � � -> . �.-5 �,�c'`,c` � �� �� PHONE: �") � � _ �~( �(6 <br /> • � " ��:� �'•� 1.��-,t e.._ ZIP: S%3 � 1 <br /> MAILING ADDRESS: 7:� � � lc�.Y , �� t. , CITY: V�1 � � i <br /> STATS LICENSE: � � `"` � �. <br /> �xcHz�cT/�czx�x: _�<�.:�1� ���r�e k- �� I��.�,�� h� �--� _ P$or�: 1-f �?`� ' ( ��-Z <br /> � �� � r,�- �.a ' � ' j j r.�,� <br /> MASLING ADDRSSS:_ !�j� 7 \,-�':`�� ��''�� '�. �'� v`�-CITY: � � � c�.,�:-� ZIP: <br /> -� <br /> ;,j��: Jc-��`�(� RSGISTRATION � <br /> TYPE OF WORK: New_� Addition Accessory Struciure Move <br /> Demo Remoae /Alteration Renovate Land Alteration <br /> . f c' <br /> PROPOSED WORR (describe in detail) : ' ;� -' �fi`� C G'`<�'-� � �'� �''' <br /> \ .� � <br /> C .�\`J ...s.�cr. 1� -`'��'� c� � „ r: ��`\ � '�•-�J �f\`, �_ `, <br /> � � � :�,� <br /> r � � <br /> STORI$S: \ SQ. FE$T OF EACH FLOOR: <br /> ?d0. �F BgDROOMS:_(�___ GARAGE STALLS: ATT.� DET. <br /> . �..�>���' � <br /> ESTIMATED CONSZ'RIICTION VALIIATION (eacluding land) : $ � <br /> = 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 ot to start without a permit; and <br /> �hat the work will be in accorda e ith e pproved plan. <br /> , <br /> APPLICANT'S SIG'P7A2'QRE- � !. �� ���'�; �/� DATE: � � .�. 1 �� <br />