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, I <br /> K . (i�L'�-'"C.t n� I�/��. <br /> CITY OF ORONO - BQII,DING PERMIT APPLICATION <br /> Total Fee• $ -� =� �� � ? I�' Bate Received: ��'J�,Z/ �7'� <br /> Date Ap�roved: <br /> Entered By: ���' � <br /> Permit tt: `f :�,�_5 <br /> AI,L INFORMATION MUST BE SIIB�iITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------�----------------------------------- <br /> THE APPLICANT IS: (circle one) O��TNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �L� � �'1`U(3�=� 1:� � IL � ZIP: J t✓- 3i 7 <br /> (work) <br /> NAME OF OWNER� �j ���c N �.�, �d..� n.r PHONE: (home) `�7 `��- �`1�'Z <br /> MAILING ADDRESS: �t� S, �`?`J ��:� t��`f R� CITY: /�f�PL� ��.r9-�h/ ZIP: J�359 <br /> CONTRACTOR: �l.�,�n1 ��= � c 1J � PHONE: ���7� -U il 1 � <br /> MAILING ADDRESS: �z( l 7 � Gfilzr�'� y l'L CITY: � C��rJ CJ ZIP: "`� 5 � N�{ <br /> STATE LICENSE: � G�rZ 3 <br /> ARCHITECT/ENGINEER: P$��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: R.EGISTRATION n <br /> TYpE pg WORR: New Addition�_ Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � � � I� L � �► �(�� i�6N �� �N��RIr� <br /> i�A�TE-F 2cs�-r�.. � �"�'1�"��.R. {3� �.rw�. - <br /> STORIES: SQ. F� aF �� ��R= <br /> NO. OF BEDROOMS: GARAGE STALLSs ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � �� ��-%L%, �� <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 wil i be in accordance with the approved plan. � <br /> APPI,ICANT'S SIGNATURE: � . �� ��'�".^o"-� DATE: ��� - ��" <br />