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, � , � CITY OF ORONO - BIIILDING PER�LIT APPLICATION <br /> Total Fee• $ � ���� � � Date Received: <br /> Date P.pproved: <br /> Entered By: � ,f� .��C'� Z,�2 y� <br /> Permit�: � <br /> �7.T. INFORMATION MIIST B$ SIIBMIT'�BD IN FIII�L BEFORE PI�AN REVIEW WII,L BS STARTED <br /> (See Check-off List Enclosed) <br /> 'I`HE APPLZCANT IS: (circle one) OWNFR ^- � <br /> JOB SITE ADDRSS �S� <br /> r � ' St�t�� <br /> ,�� ('\ `�,\ �� k� ` <br /> ���c. <br /> i��ME O <br /> F OWNER: I �1�"\ �� � �) y 7� y�1 Z.�l <br /> ?iAILING ADDRESS:_ / `�` "� e�il" � . ./ ': SS�S� <br /> /`�p'�` �� � � � <br /> ' �� " ,, ;� -�s�� <br /> CONTRACTOR: ��- _� <br /> -�- <br /> i�I�ING A.DDR.$SS: � � s j3�� <br /> ' L� <br /> '�h�'-°-�` � . <br /> STATS LICENSE: �� �jb ? ? �'3 � G� �2 <br /> o y�G�,,� <br /> ARCHITECT/ENGINEER: i— G�� ��� PHONE: <br /> � <br /> A�ILING ADDR,$SS: CSTY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Struczure X Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> FROPOSF•D WORR (describe in detail) : 2�' � ��-+ `.�'��-�^� �cc`-`e— <br /> STORI$S: I SQ. FEBT OF EACS FLOOR- '�� - <br /> :�0. OF B$DROOMS: GARAGE STAIaLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding land) : $ ` Z- ��o�� <br /> T hereby apply for a building permit and I acknowledge that the information <br /> �bove is complete and accurate; that the work will. be in conformance with the <br /> lydinances and codes of the City and with the State Building Code; that I <br /> .:nderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work will be in accordance with the approved plan. . <br /> ,�.�-" . 7 <br /> � � �' . �, ._ ��_�� <br /> ?1PPLICANT'S SIGNATURE: i DATE. <br />