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. ' <br /> � - � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ ��o' �� Date Received: <br /> Date Approved: <br /> Entered By: ' � <br /> Permit�: � � �� <br /> A�L INFORMATION MIIST B$ SIIBMITTED IN FULL BEFORE PLAN REVILFT WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> �'SE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: �,�� � �(�/'��w- ��r e e'¢,; �d"o�o. h'I fU� Z IP: ,����.� <br /> (work) <br /> Y�1A1�93 OF OWNER: �Q.Ys L��-v�� ��-r � i o� PHONE: (home) ������� � <br /> MATT.TNG ADDR.ESS S ���� f'tl��Y' ��i`"�C:I CITY S 1,.�y�'� �n� ��)� ZIP: J�� � � <br /> CONTRI�CTOR: �P �(r D� � 1.l_ � �Y� ' C� PHONE: J'��7- � ��� <br /> �fATzix� Annx$ss: � �7� /d���.� L� o �, cz�: /�"I�l� �rc�ve ziP: �`3 �`� <br /> STATS LICENSE: � l`��C� ��`� � <br /> �iRCHITECT/ENGINEEF�: PHONE: <br /> �nTT.nvG ADDRSSS: CITY: ZIP: <br /> ���g: RBGISTRATIOA � <br /> ':�'YPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remode.1/Alteration r� Renovate Land Alteration <br /> PROPOSF.D WORR (describe i.n detail) : /i.e,rvmt,., �JZo. � �� � ��m P�.f', <br /> �ast�e�q� i�'a�>� Ir'L �ace ls-� eLe� � - '�3�� 6.-s ��c%s�'xa • <br /> �TORI$S: SQ. FE$T OF EACH FLOOR: <br /> :SO. OF BSDROOMS: GARAGE STALLS: ATT. DET. <br /> �.`STI1�iATED CONSTRIICTIOB VALIIATION (eaclnding land) : $ ��a. 9 8 �. � <br /> � hereby apply for a building permit and I acknowledge that the information <br /> 3bove is complete and accurate; that the work will be in conformance with the <br /> �rdinances and codes af 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 /> �hat the work wil 1 be in accordance with the approved plan. . <br /> ' C� <br /> s,/ ` �' � <br /> �PPLICANT'S SIGNATDRE: /��z, DATE: `�`�� <br />