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�. <br /> � � <br /> ,,, CITY OF ORONO - BUILDING PERMIT APPLIG'�TION <br /> Total Fee: $ / �-�� � � � Date Received: /,: � /:' 'i� �- <br /> Date P.pprove8: <br /> Entered By: � � �_ , -, <br /> , <br /> Permit Q: � � � �- <br /> AI�L INFORMATION MUST B$ SIIBMITT� IN FULL BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List EncI.osed) <br /> -----------------------------------�-s--�----------------------------------------- <br /> THE APPI.ICANT IS: (circle one) ' OWNErR or CONTRACTOR <br /> � �.,_._-- <br /> JOB SITE ADDRSSS: �„�(�.�.-J ��`i �� . .� ��,'��-�ll C"� �/ � ZIP: `j _� _")�� � <br /> ., (work) � �� ���� <br /> rr� oF owrrEx: -�- ' ,� /`' � L���/�) , Gt � t� l � P$or�: (nome)�����y�'� <br /> �( f� s--. _ � <br /> 1KAILING ADDRESS: '�d� (�� �� � )t't'�S'/ ��/�"��ITY: �� �1 � ZIP: �-� _7�� <br /> CONTRACTOR: .r) C'll�`1° � '`/�GG!(��- PHONE: <br /> MATI,ING ADDR.ESS: C�/)/1� /-C-�)1j'G1. CITY: ZZP: <br /> STATS I,ICENSE: u <br /> ARCHITECT/ENGINEEF2: PHONE: <br /> AiAII.ING ADDRBSS: CITY: ZIP: <br /> Np,�: RBGISTRATION � <br /> TYPE OF WORK: New Addition_� Accessory Structure Move <br /> Demo Remodel/Alteration �/ Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � /�) j �C�,�/ �17`� 1��� � �� ��'`� ��f '� <br /> � <br /> i <br /> �;���,� �, ;� ��� !e r�� �r�� � <br /> STORI$S: SQ. FEBT OF EACS FLOOR: <br /> NO. OF BEDROOMS: GARAGS STALLS: ATT. DET. <br /> ESTIHATED CONSTRIICTION VALIIATION (eaclnding la.nd) : $ ��� � �r' � � <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 /> / /� /,� � _/ <br /> � <br /> A.PPI,ICANT'S SIGNATIIRE: =_ G L�i�.a� � G+�/ L�+ 'G�L�"l/ � DATE: 1� �/� �,� <br />