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s <br /> = CITY OF ORONO -% ERMIT APPLICATION <br /> 'otal Fee: $ <br /> 1�r " Date Received: /0-5-It <br /> Date Approved: /0- 5-yZ ,7e� <br /> :ntered By: 7 <br /> Per*nit u: /eC <br /> \LL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ''NE APPLICANT IS: (circle one) OWNER or CONTRACTOR,6 - '-' L "'LI <br /> �. ZIP: :517---)-j<-5-4. <br /> soB SITE ADDRESS: �/lv //Ay <br /> (work) <br /> 6 <br /> PHONE: (home)y? C ,?�75—' <br /> 7A�`1E OF OWNER: L J�� v(/� � //2/� i '-74-1TAILING ADDRESS: o7%L5-- A)�7',t` 70 2i) ! C TY: neeey?..1 -7 ZIP: f:,---i5-75'-5.--j <br /> /--f-r--- <br /> ---- ----4 ,‘41,'&46.2 --- " <br /> :ONTRACTC - ` PHONE: <br /> .AILING ADDRESS: C ZIP: <br /> 'TATE LICENSE: T <br /> RCHITECT/ENGINEER: PHONE: <br /> AILING ADDRESS: CITY: ZIP: <br /> AmE_ REGISTRATION # <br /> `r.PE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ?OPOSED WORK (describe in detail) : <br /> TORIES: SQ. FEET OF EACH FLOOR: <br /> O. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> :STIMAT111 CONSTRUCTION VALUATION (excluding land) : $ <br /> hereby apply for a building permit and I acknowledge that the information <br /> 'cove is complete and accurate; that the work will be in conformance with the <br /> rdinances and codes of the City and with the State Building Code; that I <br /> aderstand this is not a permit and work is not to start without a permit; and <br /> .hat the work will be in ac or. - ce with the approved plan. <br /> i • <br /> 2PLICANT'S SIGNATURE: <br /> 4" DATE: //)1,57, 9-- <br /> ,/ <br /> • <br />