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, � _, CI'['Y OF ORONO - BUILDING PERMIT APPI,ICATION <br /> Tatal. Fee• $ �`�� � � Date Received: /� /„ /'i �- <br /> Date P.�proved: <br /> ,. - - <br /> Fntered By: � - �`� Permit�: ���� � <br /> AT•T• INFORMATION MIIST BE SIIBMITTSD IN FIILL BEF�RE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------- <br /> � APPLIGANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ��J'�� S%���L�G� /�L-f�L� ZIP: �53�� <br /> (work) �2�-/..�21v <br /> NAME OF OWNER- ��,�I�TZ�r-= 1�, -� cJG�'l f PHONE: (h orr�e) '`7���-�!�� <br /> MATLING ADDRESS: t �(7� cal �U� l`Vi�C� CITY: C����/llC� ZIP: S�31s � <br /> CONTR.ACTOR: N/� P$��' <br /> MATLING ADDR.ESS: CITY: ZIP: <br /> STATS LICENSE: n <br /> ARCHITECT/ENGZNEER:_�/� PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> ��,r� RSGISZRATION � <br /> Z'XPE OF WORK: New X Addition Accessory Structure Mave <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��� ��� �1� �LIL d� �v:5� � �z2�/.��%�. <br /> ��cK ��1 �rz��-� �i�U�n-���1i /c�'x 8' <br /> STORISS:�(/� SQ. FEBT OF EACH FLOOR: <br /> j�0. OF BgDROOMS: GARAGB STALLS: ATT. DET. <br /> r o �ra� �.G <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding land) : $ t-2v',��5$Sdr�`' �(xK ��C `3� <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 /> �rdinances and codes of the Ci�y and with the State Buiiding Code; that I <br /> �nderstand this is not a permit and work is not to start without a permit; and <br /> `hat the work will be in accordance with the approved plan. <br /> ,A.PPLICANT'S SIGNATIIRE: -- (�GG, �G� DATE: � �- <br /> � <br />