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y CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 'S�iS' 95 Date Received: I <br /> pial Fee: $ <br /> � t <br /> Date ADDroved: <br /> :tered BY:_' (`v <br /> P e rrti t� "7y-2 Z <br /> "-,L INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------- <br /> APPLICANT IS: (circle one) OWNER or CONTRACTOR J'Yj be r <br /> S SITE ADDRESS: <br /> (P �j S� ro n !� ZIP <br /> (work) <br /> 'iE OF OWNER: _ e/I ou d I �1 r, _s s S PHONE: (home) <br /> LING ADDRESS: CITY: ZIP' <br /> ,.iTRACTOR: y��C_\/ ^• e f a er- PHONE: dL L/ Z <br /> ADDRESS: e�y�Q fr,l i r-4 P c.�J hH . CITY: /YlO u H rl- ZIP: 57 <br /> S 3� <br /> ATE LICENSE: <br /> =TECT/ENGINEER: PHONE: <br /> _.:LING ADDRESS: CITY: ZIP: <br /> `1!E: REGISTRATION t <br /> ?E OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br />',OPOSED WORK (describe in detail) : �a✓ i-�� <�`NdC`� �b� �aa�— <br /> I <br /> )RIES: SQ. FEET OF EACH FLOOR: <br /> OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> c-r7 <br /> 'IMATED CONSTRUCTION VALUATION (excluding land) <br /> �reby apply for a building permit and I acknowledge that the information <br /> ve is complete and accurate; that the work will be in conformance with the <br /> .finances and codes of the City and with the State Building Code; that I <br /> erstand this is not a permit and work is not to start without a permit; and <br /> the work will be in accordance with the approved plan. <br /> DATE: <br /> ICANT'S SIGNATURE: ` <br />