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. � <br /> � � CITY OF ORONO - BOILDING PERMIT APPLICATION <br /> Total Fee: $ ij�(�. �-S Date Received: //C�' � <br /> , Date Approved: <br /> Entered By: �j� <br /> Permit#: �'rj-/ % <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: 6 S— /V ST v� bj ,d'c. /1' o a aL ZIP: <br /> Ss.�s6 <br /> Lm�y [.likc <br /> (work) � <br /> NAME OF OWNER: D�Lk 'f- A,-n t(a frr'oe pe.� PHONE: (home) �176- 6/16 <br /> 1KAILING ADDRESS: 6� rc� s��6�s r�uX �d cz�: Lo�S ��c zzp: s s.��6 <br /> CONTRACTOR: J`/e dp� t r/r+ F�r�✓ �a n fr PHONE: <br /> MAII,ING ADDRESS: 7 O`j' t�TlT 4 ('f.� /s.r d CITY: `a�� �o�Q Z IP: SS.?.1'� <br /> STATS LICENSB: # �O O '7,5�6� <br /> ARCHITECT/ENGINEER: pH��= <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAML: REGISTRATION # <br /> G�.vf<.. <br /> TYPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ao�� ly�c 10� STaI/ � /1 e��- <br /> � , <br /> c F e xr s r �n9-__�Q•-� 5�C - <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STAI�LS: ATT. DET:�'��_ <br /> ESTIMATED CONSTRDCTION VALIIATION (egcluding land) : $ ,5�6 �"� <br /> I 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 not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � � <br /> APPLICANT'S SIGNATORS: f� ( / "'�"""- �_�_ DATS: f�' /o - �T <br />