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F CITY OF ORONO - BIIILDING PERMIT APPZICATION <br /> Total Fee• $ %�� ��'�' � -j Date Received: ,���_•3/�.�� <br /> Date Approved: <br /> Entered By: ' � ��� � � -� •� <br /> Permit�: �G :�-' <br /> AT•T. INFORMATION MUST BE SIIBMITTED IN FIILI. BEFORE PLAN REVIEW WILL B$ STARTF,•D <br /> (See Check-off List Enclosed) <br /> -------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRSSS: ���� -��:S�J� ZIP: <br /> (work) <br /> NAML OF OWNER: Pa� �✓�4 Y7 7 c{ �� �=.e c`�U t �-7c� PHONE: (home) <br /> I�iAII,ING ADDRESS: 2�qa S ✓S��t,c- CITY: R� -.--c0 ZIP: <br /> CONTR�CTOR: PR 2�4�.�-�o,.� A�S � B��1.�-=e C r✓c�' PHONS: �I 3� -U�c�� <br /> MAILING ADDR.ESS: 3��� �(��,�4�/ LrL.I CITY:/H �^-�✓/-'�v�E---� ZIP: S 5��5� <br /> STATS LICENSE: � 11 -��1 - <br /> ARCHITECT/ENGINEEFt: PHONE: <br /> MATLING ADDR$SS: CITY: ZIP: <br /> g�: RBGISTRATION u <br /> TYPE OF WORR: New Addition ✓ Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration ✓ <br /> PROPOSED WORK (describe in detail) : ��,�r S h �-ow/✓� �V�L <br /> STORI$S: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: �- GARAG$ STAI.I�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ����U- � <br /> I hereby appl.y 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 /> tnat the work wil 1 be in acco ce with the approved plan. � <br /> r ���� DATE: 'l-2_2 —�� <br /> APPLICANT S SIGNATUREs <br />