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' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � K . <br /> Total Fce: $ �'•Sr <br /> Date Received: �? ��/� � <br /> Date Approved: <br /> Entered By:^� �: �-�3� <br /> Permit <br /> �L INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI�AN REVIEW WILL BB STAR�ED <br /> (See Check-off List Enclosed) <br /> --------------------------------------_,,---------------------------------------- <br /> THE APPLICANT IS: (circle one) �,'or CONTRACTOR <br /> JOB SITE ADDRSSS: � "�,��/ �'/-f�l%_�i�� —/ /�- � ZIP: ;��,� �� � <br /> (work) <br /> N�ML OF OWNER: c,�/ F /�('C� �C t'��-�--�L_%iC%�� PHONE: (home) `�`-7�� �J�� �� <br /> MAILING ADDRESS: ���� `�L��ULI� /'� /�/� CITY: C�C�-� T/�T ZIP: .����� <br /> ��;��.1 �C-`!,:'���t"�Z/ _ ` / �����- �;�,.�E'�� <br /> CONTRACTOR: PHONB: <br /> �3AILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: '�� PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> rJ�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �����/�c'�t���� ��G��� l�-� /(-�'�`�'�� ��� <br /> �` �L����/�,� �� i'�'��� ' ��r L��/ <br /> STORISS: SQ. FEBT OF EACH FI�OOR: <br /> NO. OF BgDROOMS: GAR1fGB STAI.I,S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ <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 w rk is not to start without a permit; and <br /> that the work wil 1 be in accordance wi h the approved plan. � <br /> � ����� � '� , � DATE: c� -��5 <br /> �PPLICANT S SIGNATIIRE: � ,� ,�C����� -�C/�C'�E�F��'" �� <br /> � ��/ <br />