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. <br /> CZTY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: !"f'� ' <br /> Permit n: ��' '/ `✓ <br /> AT•7. INFORMATION MIIST B$ SUB Che�ckD-offFLDistBEnOZosed N �VI� �� B$ STARTED <br /> (See --------------------------- <br /> --------------------------- <br /> -------------------------- <br /> THE APpLICANT IS: (circle one) O��1NER or ONTR.ACT <br /> JOB SITE ADDRSSS: > .��`i� �So�/S ����� F';� CJ�cs1•�U ZIP: ��-'�'� <br /> (work) <br /> � <br /> �. r,�+ I PHONE: (home) ���.%� �� �- <br /> NAM:E OF OWNER: .3 ���1 ' �' <br /> -. C � � �<� cz�: ����• ��.k.r� zzP: S{3�� <br /> MATLING ADDRESS: 5 3`�� ��.�� � � — <br /> , �l -�,�'O��a <br /> CONTRACTOR: M��P D�j��/�''�"e' C ����'��(',Y'�►�j� _ PHONE: `�. � <br /> 55'`��° <br /> MAILING ADDRESS: �//�,/1/ A�.,,��, �,,�r � �. CITY: ci'�c��c?� }�?::�� ZIP: _ <br /> STATE LICENSE: # �5�� 7 � <br /> ARCHITECT/ENGINEER: <br /> PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> N�ME: REGISTRATION tt <br /> TYPE OF WORR- New Addition Accessory Structure Move <br /> Demo • Remodel/Alteration Renovate x Land Alteration <br /> PROPOSED WORR (describe in detail) : � �`'v-� `��� O`a '�''�J�, <br /> v <br /> h� ��. <br /> -�( � � �u l ; ��!�, e-� <br /> STORIES: SQ. FEET OF EACH FLO�R= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) s $ � �?�� <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 will be in accordance with the approved plan. <br /> ,� . <br /> � � � DATE: �/�,G l �<._ <br /> APPLICANT'S SIGNATURE: �;'����/`� `� � <br />