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'� <br /> .r" � CITY OF ORONO - BUILDING PERM.IT APPLICATION <br /> Total Fee• $ � ?' `3C' Date Received: �U � �� �J <br /> Date Approved: <br /> Entered By: './'� <br /> Permit�: <br /> AI�L INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE PLAN REVIEW WII.L BS STAR�ED <br /> (See Check-off List Enclosed) <br /> ----------------------------------- _. <br /> THE A.PPLICANT IS: (circle one) OWNER or �CONTRACTOR <br /> ; -- -�f� ,�� � <br /> JOB SITE ADDRBSS: � �' ( f. ->l._i�� ��-t�> :--�4'`�Tl�Ir ��A`i �==lt{ ZIP: <br /> �7 ua� Su l� "',� 3�� �'�t�>i T'� ��y <br /> (work) <br /> NAME OF OWNER•�� � '.- . - .�--�.?+.;__t-:: - PHONE: (home) <br /> �h 1 <br /> MATLING ADDRESS: CITY: ZIP: <br /> CONTRI�CTOR: ��- , l fl �I'�1 W� �• i i���-��i , r�01�17: C I'(t � ��'C �� <br /> 1 <br /> � g <br /> MAIZING ADDR$SS: � � ?�L. �I{IfC=(f-`cL 'j7� �-r i� I/i, CIZ'Y: �_(�� i� (,j.:,i�t�-�F:. ZIP: ; .,3 �,5��..:'1 <br /> STATS LICENSE: # ����'��..-_'� <br /> ARCHI TECT/�ENGINEER: ��:�-I� � t�f. h l� � ,1 �"`�'� �%"r'�,_; J t:�.:i `�� PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATI�N � <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remode /Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ��i�� t`l�tv�►E= <br /> STORIES: i-�- SQ. FEBT OF EACH FLOOR: � �� .� � ���1/�-,, I ��' I�� �'I�''�""�(i�') 1 tti� �t..� ( <br /> NO. OF BEDROOMS:� GAR1�fG$ STAL.LS: 2 ATT.�_ DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� �'���,��-( <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor3c 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 will be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATIIRE: �� '.f ; /.; , `l DATE:� � I �l� <br /> 1-E�nn� `I'�y �is2�t <br />