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� <br /> ' CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> � Total Fee: $ 7 7��• �d Date Received: ^�,�""� y <br /> � Date Approved: <br /> Entered By: 1f�f <br /> Permit#�� / <br /> AT•T• INFORMATION MUST BB SIIBIKITTED IN FULL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) � <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: O / � 5 � � A� I�.t! D r d-.Y' ZIP: <br /> (work) <br /> NA1�II� OF OWNER: �'�`'G v� 5 G �j o� d' 1.L PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: � G �7 E�� �. d �+ Y�',�`��-'�: �"''" PHONE: � �O� "" [s�7�� <br /> �ziNc Annx�ss: � �"z 5 w �6 s��rz ci�r: S�L�.frr� zip: 55 y/� <br /> TATS LICENSS: � d 4 � � 7 <br /> �ca - �Td �c e .S�! a� ,•� paor�: �-f �7 b — � 2 Z �..... <br /> MAII.ING ADDRESS: CITY:� vyi� ZIP: <br /> NAME: RBGISTRATION � <br /> TYPE OF WORR: New � Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ,(,% E', iv 7t�"�''�+ � <br /> � <br /> STORIES: Z•- SQ. FEBT OF EACH FLOOR: � � �S � 2' `'I S �" � O � 6 <br /> � <br /> 1Q0. OF B$DROOMS:_� GARAGE STALLS: ATT.� DET. <br /> BSTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ 'S L� �; D I�' _- <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 SIGNA DATS: �.r�� ' H�� <br />